Individual
RON LOFLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3300 GODFREY RD, GODFREY, IL 62035-2558
(618) 466-8787
Mailing address
3300 GODFREY RD, GODFREY, IL 62035-2558
(618) 466-8787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009716
IL
Other
Enumeration date
09/28/2006
Last updated
04/22/2011
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