Individual
LAUREN LOFDAHL RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
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
Update your record
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