| NPI | 1679752299 |
|---|---|
| Former Name | DEANNA MICHELL LOVRAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6091) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010306) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2012-02-02 |