Individual
DR. MILTON JULIUS LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BSBA, MBA, OD
Contact information
Practice address
10700 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-4113
(501) 225-4648
(501) 225-8628
Mailing address
10700 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-4113
(501) 225-4648
(501) 225-8628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2219
AR
152WC0802X
Corneal and Contact Management Optometrist
Primary
2219
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104558722
—
AR
Enumeration date
12/14/2005
Last updated
01/08/2019
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