Individual
LORI RENE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O D
Contact information
Practice address
967 DOUGHERTY RD, AIKEN, SC 29803-6017
(803) 617-7611
(803) 761-7720
Mailing address
967 DOUGHERTY RD, AIKEN, SC 29803-6017
(803) 617-7611
(803) 761-7720
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D13073
—
SC
Enumeration date
11/21/2005
Last updated
02/08/2022
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