Individual
DR. RICHARD KENNETH LODWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010050308
—
VA
01
—
0974810001
CIGNA DMERC
VA
01
—
103481
ANTHEM
VA
01
—
410047254
RAILROAD MEDICARE
VA
01
—
76039
OPTIMA
—
Enumeration date
07/19/2006
Last updated
10/09/2008
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