Individual
GREGORY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5503 LEESBURG PIKE, BAILEYS CROSSROADS, VA 22041-3109
(571) 483-4021
Mailing address
4 FAIR OAKS AVE, NEWTON, MA 02460-1217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002660
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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