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Individual

DR. MICHELE LAGO HANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
511 MAIN ST, IRWIN, PA 15642-3404
(724) 863-3116
(724) 863-2489
Mailing address
511 MAIN ST, IRWIN, PA 15642-3404
(724) 863-3116
(724) 863-2489

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000394
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001672482-002
PA
Enumeration date
06/29/2006
Last updated
03/08/2011
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