Pennington, Lori Mandy
Pennington, Lori Mandy is an individual health care provider with primary practice located at 6315 North Center Dr Bldg 20 Suite 230, Norfolk VA 23502-3931. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pennington, Lori Mandy can be contacted via phone (757) 461-7974.Contact Information
Primary practice address
6315 North Center Dr Bldg 20 Suite 230
Norfolk VA 23502-3931
Phone: (757) 461-7974
Fax: (757) 461-4829
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001488 | Virginia |
Profile Details
NPI number | 1295723526 |
---|---|
LBN Legal business name | Pennington, Lori Mandy |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | May 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295723526 | NPPES |
Virginia | MEDICAID | 010198453 |
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