Individual
DR. JOSEPH VINCENT LODRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
573 W 100 N, WEST BOUNTIFUL, UT 84010-7018
(801) 718-8623
Mailing address
PO BOX 981681, PARK CITY, UT 84098-1681
(801) 718-8623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4983842-9934
UT
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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