Individual
MS. LORI J. WASSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D. M.D.
Contact information
Practice address
1243 W BOUGHTON RD, BOLINGBROOK, IL 60440-1509
(630) 679-0900
Mailing address
1265 DANIEL CT, SYCAMORE, IL 60178-3207
(815) 217-4246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.007567
IL
Other
Enumeration date
09/02/2006
Last updated
01/23/2018
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