Individual
DR. SARAH LANE
Active
Individual
DR. SARAH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030-0000343
VT
152W00000X
Optometrist
TUV006908
NY
152WV0400X
Vision Therapy Optometrist
Primary
27OA00610300
NJ
Other
Enumeration date
11/17/2005
Last updated
01/17/2011
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