Smith, Lora Jane

Smith, Lora Jane is an individual health care provider with primary practice located at 4854 Londonderry Rd , Harrisburg PA 17109-5207. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Smith, Lora Jane can be contacted via phone (717) 657-3682.

Contact Information

Primary practice address
4854 Londonderry Rd Harrisburg PA 17109-5207
Fax: (717) 909-9162
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG 000015 Pennsylvania

Profile Details

NPI number 1376549535
LBN Legal business name Smith, Lora Jane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 29th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376549535 NPPES
Pennsylvania Other 992170 KEYSTONE HEALTH SERVICES
Pennsylvania Other 50001250 KEYSTONE HEALTH SERVICES
Pennsylvania Other 798437-004 KEYSTONE HEALTH SERVICES
Pennsylvania Other SM196369 KEYSTONE HEALTH SERVICES
Pennsylvania Other 151427 KEYSTONE HEALTH SERVICES

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