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Lane Shaw
Optician in Inverness, Florida
NPI 1205058914

Lane Shaw is a Optician based in Lecanto, FL and is specialized in Optician. Lane Shaw practices in Inverness, FL. The NPI Number for Lane Shaw is 1205058914 and holds a License No. DO4314 (Florida).

The current practice location address for Lane Shaw is 2623 E Gulf To Lake Hwy, Inverness, FL and can be reached out via phone at 352-637-5180.

Location: 2623 E Gulf To Lake Hwy, Inverness, FL, 34461-8657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205058914
Provider Name
Lane Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
2623 E Gulf To Lake Hwy, Inverness, FL, 34461-8657
Phone Number
352-637-5180
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2623 E Gulf To Lake Hwy
City
Inverness
State
Florida
Zip
34453-3216
Phone Number
352-637-5180
Fax Number
person
Provider Business Mailing Address Details
Address
2623 E Gulf To Lake Hwy
City
Inverness
State
Florida
Zip
34453-3216
Phone Number
352-637-5180
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO4314 (Florida)
Definition
Definition to come...
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