Individual
LORIE C WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
812 E LEE ST, ENTERPRISE, AL 36330-2011
(334) 393-2020
(334) 393-6936
Mailing address
812 E LEE ST, ENTERPRISE, AL 36330-2011
(334) 393-2020
(334) 393-6936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S623TA097
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111905
EYEMED
—
01
—
51004506
BLUE CROSS BLUE SHIELD
AL
01
—
5878510001
CIGNA GOV'T SERVICES
AL
Enumeration date
09/30/2005
Last updated
09/11/2007
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