Individual
LAUREN A. GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1209 YORK RD, SUITE 200, LUTHERVILLE TIMONIUM, MD 21093-6207
(410) 821-9490
(410) 821-9495
Mailing address
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6207
(410) 821-9492
(410) 821-9495
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
TA2073
MD
152WV0400X
Vision Therapy Optometrist
TA2073
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016433000
—
MD
Enumeration date
08/21/2007
Last updated
04/11/2012
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