Individual
MACKENZIE LANE COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5568
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA3064
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2025
Last updated
06/25/2025
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