DR. Jill Marie Lane, O.D.

NPI #1427119254 in Grangeville, Idaho

Provider Information

NPI Number
1427119254
Entity Type
Individual
Name
DR. Jill Marie Lane, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 13, 2006
Last Updated
Jan 12, 2017

Practice Location

Address
405 E MAIN ST
State
Idaho
ZIP Code
83530-2239
Phone
(208) 983-3732

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

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