Individual
DR. STEPHEN FREDRICK LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
530W RIDGE RD, WYTHEVILLE, VA 24382-1188
(276) 223-0033
(276) 223-0327
Mailing address
530W RIDGE RD, WYTHEVILLE, VA 24382-1188
(276) 223-0033
(276) 223-0327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9235469
—
VA
Enumeration date
05/19/2006
Last updated
10/08/2015
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