BRADLEY MART LANE

PEARISBURG, VA
NPI1255539607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001654)
Enumeration Date2007-07-06
Last Update Date2011-05-25
Business Address
Dr. BRADLEY MART LANE OD
700 WENONAH AVE
PEARISBURG, VA 24134-1638
Phone number: 540-921-4116
Mailing Address
Dr. BRADLEY MART LANE OD
111 RIDGEWAY DR
PRINCETON, WV 24740-9775
Phone number: 304-546-2902
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