DR. Justin David Lane, O.D.

NPI #1235270174 in Jacksonville, North Carolina

Provider Information

NPI Number: 1235270174
Entity Type: Individual
Name: DR. Justin David Lane, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 12, 2007
Last Updated: Nov 27, 2016

Practice Location

Address: 1345 WESTERN BLVD STE 120B
City: Jacksonville
State: North Carolina
ZIP Code: 28546-7627
Phone: (910) 376-8229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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