| NPI | 1790991107 |
|---|---|
| Professional Name | KEN LORD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 8249728-1205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 46090) |
| 207W00000X Ophthalmology (Licence: NV 14350) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-12-09 |