Individual
DR. KENNETH R LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6987 N ORACLE RD, TUCSON, AZ 85704-4224
(520) 297-2501
(520) 297-9496
Mailing address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6215
(520) 327-6546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ0486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049777
—
AZ
Enumeration date
08/31/2006
Last updated
08/03/2010
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