Individual
MR. LYNN CARLTON VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3555-A ELECTRIC RD, ROANOKE, VA 24018
(540) 989-5036
(540) 989-1353
Mailing address
2513 MOUNT VERNON RD SW, ROANOKE, VA 24015-3619
(540) 344-9922
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101 001046
VA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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