Individual
LAUREN BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
116 LUCY LN, WAYNESBORO, VA 22980-3275
(540) 932-2518
Mailing address
116 LUCY LN, WAYNESBORO, VA 22980-3275
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003670
VA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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