Individual
DR. LORI MANDY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6315 NORTH CENTER DR, BLDG 20 SUITE 230, NORFOLK, VA 23502-3931
(757) 461-7974
(757) 461-4829
Mailing address
6315 NORTH CENTER DR, BLDG 20 SUITE 230, NORFOLK, VA 23502-3931
(757) 461-7974
(757) 461-4829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198453
—
VA
Enumeration date
10/11/2005
Last updated
05/13/2008
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