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Individual

DR. LORA JANE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

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
Update your record

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