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Individual

DR. LORI ANN FACKTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5765 BURKE CENTRE PKWY STE L, BURKE, VA 22015-2264
(703) 250-2000
(703) 978-9581
Mailing address
5765 BURKE CENTRE PKWY STE L, BURKE, VA 22015-2264
(703) 250-2000
(703) 978-9581

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001148
VA

Other

Enumeration date
03/20/2007
Last updated
12/09/2008
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