Individual
DR. LORI CICCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
527 BROAD AVE, BELLE VERNON, PA 15012-1426
(724) 929-7737
Mailing address
527 BROAD AVE, BELLE VERNON, PA 15012-1426
(724) 929-7737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG000790
STATE LISCENE #
PA
Enumeration date
10/16/2006
Last updated
03/07/2023
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