Michael Lane, OD
NPI #1144338393 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1144338393
- Entity Type
- Individual
- Name
- Michael Lane, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 92 CHESTERFIELD MALL
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-4808
- Phone
- (636) 530-0202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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