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Organization

JENNIFER C LANE OD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LANE O.D. (OPTOMETRIST/OWNER)
(757) 759-1416
Entity
Organization

Contact information

Practice address
12130 JEFFERSON AVE, NEWPORT NEWS, VA 23602-6908
(757) 249-1324
Mailing address
PO BOX 1056, SUFFOLK, VA 23439-1056

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001867
VA

Other

Enumeration date
02/14/2016
Last updated
02/14/2016
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