| NPI | 1801270475 |
|---|---|
| Former Name | STEPHANIE L LORBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 2015-IOD1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.6376) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |