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Organization

DR. KENNETH LORD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACIA A DECKER (VP OF RETAIL)
(520) 327-6215
Entity
Organization

Contact information

Practice address
6987 N ORACLE RD, TUCSON, AZ 85704-4224
(520) 297-2501
Mailing address
6987 N ORACLE RD, TUCSON, AZ 85704-4224
(520) 297-2501

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0486
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049777
AZ
Enumeration date
05/18/2010
Last updated
05/18/2010
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