Individual
DR. LORI ALYSE JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2226 1ST AVE S, #103, BIRMINGHAM, AL 35233-2333
(205) 222-5117
Mailing address
201 DUNROBIN CV, PELHAM, AL 35124-6286
(205) 222-5117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C60-TA-898
AL
Other
Enumeration date
06/08/2011
Last updated
02/14/2012
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