Individual
DR. LORA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4854 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-3682
(717) 909-9162
Mailing address
4854 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-3682
(717) 909-9162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000015
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151427
HEALTH AMERICA/ASSURANCE
PA
01
—
50001250
CAPTIAL BLUE CROS
PA
01
—
798437-004
CIGNA HEALTH CARE
PA
01
—
992170
KEYSTONE HEALTH SERVICES
PA
01
—
SM196369
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/22/2005
Last updated
08/29/2013
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