MICHAEL LANE

CHESTERFIELD, MO
NPI1144338393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  TO2780)
Enumeration Date2006-08-28
Last Update Date2007-07-08
Business Address
-- MICHAEL LANE OD
92 CHESTERFIELD MALL
CHESTERFIELD, MO 63017-4808
Phone number: 636-530-0202
Mailing Address
-- MICHAEL LANE OD
99 S CLAY AVE
FERGUSON, MO 63135-2445
Phone number:
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