Provider Demographics
NPI:1194830539
Name:MURRAY, BRIAN LANE (OD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LANE
Last Name:MURRAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6321
Mailing Address - Country:US
Mailing Address - Phone:360-435-0182
Mailing Address - Fax:
Practice Address - Street 1:5906 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-6321
Practice Address - Country:US
Practice Address - Phone:360-474-9620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00004023152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy