| |
288 S Forest Ave, Luverne, AL 36049-1602 | |
(334) 335-2020 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 288 S Forest Ave, Luverne, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174124234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 207243, Dallas, TX 75320-7243 Ph: (636) 200-4393 | 288 S Forest Ave, Luverne, AL 36049-1602 Ph: (334) 335-2020 |
Jane W. Lamb, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 288 S Forest Ave, Luverne, AL 36049 Phone: 334-335-6544 |