Individual
STEVEN H LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1351 HICKORY POINT DR STE B, FORSYTH, IL 62535-1085
(217) 875-3724
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
(309) 693-9754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007319
—
IL
Enumeration date
03/21/2007
Last updated
07/21/2022
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