Individual
DR. LAUREL A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
301 N WASHINGTON HWY, SUITE 102, ASHLAND, VA 23005-1650
(804) 798-3306
(804) 798-3617
Mailing address
301 N. WASHINGTON HWY, SUITE 102, ASHLAND, VA 23005
(540) 287-3290
(804) 798-3617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001037
VA
Other
Enumeration date
07/27/2006
Last updated
06/06/2012
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