Individual
LORIANNA IRENE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4595 AVENUE E, WHITE CITY, OR 97503-1400
(541) 951-8054
Mailing address
PO BOX 314, EAGLE POINT, OR 97524-0314
(541) 951-8054
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
260386
OR
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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