Individual
LORI L SCHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Mailing address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855287
AETNA HMO PROVIDER NUMBER
—
01
—
180028565
RAILROAD MEDICARE NUMBER
—
01
—
23215047
BC/BS PROVIDER NUMBER
—
01
—
5579595
AETNA PPO PROVIDER NUMBER
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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