Individual
LORI J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
260 STATE ST, HAMBURG, PA 19526-1823
(610) 562-4548
(610) 562-1358
Mailing address
260 STATE ST, HAMBURG, PA 19526-1823
(610) 562-4548
(610) 562-1358
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OEG000270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50003677
BLUE CROSS
PA
01
—
679974
BLUE SHIELD
PA
Enumeration date
06/14/2006
Last updated
03/17/2008
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