Individual
DR. CLARENCE EARL LOFTIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1219 LINCOLN ST, COLUMBIA, SC 29201-3135
(803) 799-2020
(803) 799-2035
Mailing address
1219 LINCOLN ST, COLUMBIA, SC 29201-3135
(803) 799-2020
(803) 799-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0916D
KY
152W00000X
Optometrist
Primary
636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06363
—
SC
Enumeration date
05/03/2006
Last updated
06/08/2008
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