Organization
LOURDES LORINO, O.D.
Active
Other names
Specialty EyeCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES LORINO O.D. (PRESIDENT)
(219) 662-0066
Entity
Organization
Contact information
Practice address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 662-0066
(219) 662-0055
Mailing address
11420 BROADWAY, CROWN POINT, IN 46307-7106
(219) 662-0066
(219) 662-0055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245810B
—
IN
Enumeration date
05/22/2007
Last updated
12/06/2013
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