Individual
DR. LARA ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1000 EAST COLLEGE STREET, PULASKI, TN 38478-0595
(931) 363-6147
(931) 363-6155
Mailing address
PO BOX 595, PULASKI, TN 38478-0595
(931) 363-6147
(931) 363-6155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943739
—
TN
01
—
410048312
MEDICARE RAILROAD
TN
Enumeration date
10/20/2006
Last updated
06/11/2010
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