Individual
RODERICK D LORENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
550 PROVIDENCE HWY, WALPOLE, MA 02081-4231
(508) 668-0047
Mailing address
39 WHITNEY RD, HARVARD, MA 01451-1405
(978) 456-8189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2535
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336416
—
MA
Enumeration date
07/17/2006
Last updated
10/03/2011
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