Lallande, Allen Paul

Lallande, Allen Paul is an individual health care provider with primary practice located at 125 Suffolk Ave , Richlands VA 24641-2434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lallande, Allen Paul can be contacted via phone (276) 963-0808.

Contact Information

Primary practice address
125 Suffolk Ave Richlands VA 24641-2434
Phone: (276) 963-0808
Fax: (276) 963-7538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000220 Virginia

Profile Details

NPI number 1164423208
LBN Legal business name Lallande, Allen Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423208 NPPES
Virginia Other 021335 ANTHEM BC/BS #
Virginia MEDICAID 009203567 ANTHEM BC/BS #

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