Individual
DR. LORI J CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
317 EAST PARKWAY DRIVE, DAIBER VISION CARE, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Mailing address
317 EAST PARKWAY DRIVE, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2522
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06020018300
QUALCHOICE
AR
05
—
145334722
—
AR
01
—
49790
ARKANSAS BCBS
AR
01
—
7069287
AETNA
—
01
—
A003
TRICARE
AR
01
—
AR0033029
HUMANA
AR
01
—
AR2522
EYEMED
AR
Enumeration date
02/05/2007
Last updated
07/08/2007
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