Individual
LAUREN LOFDAHL RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
927 MAPLE GROVE DR STE 209, FREDERICKSBURG, VA 22407-6936
(540) 208-5827
Mailing address
2010 BREMO RD STE 128A, RICHMOND, VA 23226-2444
(877) 969-0392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002735
VA
152W00000X
Optometrist
OEG002530
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12252249
CAQH PROVIDER ID
PA
Enumeration date
08/09/2011
Last updated
01/24/2022
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