Individual
DR. LORI J ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3821 VETERANS MEMORIAL PKWY, SAINT PETERS, MO 63376-6416
(636) 928-1111
(636) 928-1111
Mailing address
417 EDGEWOOD DR, CLAYTON, MO 63105-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3198
MO
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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