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Individual

DR. JOHN HK LOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2315 MADISON ST, CLARKSVILLE, TN 37043-5454
(931) 647-9411
Mailing address
1025 CEDARMONT DR, ADAMS, TN 37010-8025
(915) 494-1945

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1441DT
KY
152W00000X
Optometrist
Primary
3265
TN
152W00000X
Optometrist
4572 / T1315
OH
152W00000X
Optometrist
5679T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3265
STATE OPTOMETRY LICENSE
TN
Enumeration date
12/19/2005
Last updated
11/03/2015
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