Individual
DR. LORI A RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
937 N 2ND ST, CHILLICOTHE, IL 61523-1823
(309) 274-6404
(309) 274-6404
Mailing address
937 N 2ND ST, CHILLICOTHE, IL 61523-1823
(309) 274-6404
(309) 274-6404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008859
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046008859
—
IL
01
—
410032012
RAILROAD MEDICARE
—
Enumeration date
04/19/2006
Last updated
06/16/2020
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