Individual
DR. LORRAINE DEANGELIS SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
5447 MAIN ST, GRANT, AL 35747-8322
(256) 728-3937
(256) 728-3938
Mailing address
5447 MAIN ST, GRANT, AL 35747-8322
(256) 728-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD0000002212
TN
152W00000X
Optometrist
OPT001876
GA
152W00000X
Optometrist
Primary
S969TA526
AL
Other
Enumeration date
10/24/2006
Last updated
04/08/2009
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