NPI | 1508831439 |
---|---|
Former Name | LORI D MCQUIGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1576) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2000145672) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2012-06-11 |