Raynor, Lori R

Raynor, Lori R is an sole proprietor health care provider with primary practice located at 6618 W Atlantic Ave , Delray Beach FL 33446-1616. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Raynor, Lori R can be contacted via phone (561) 498-5007.

Contact Information

Primary practice address
6618 W Atlantic Ave Delray Beach FL 33446-1616
Phone: (561) 498-5007
Fax: (561) 496-3088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2253 Florida

Profile Details

NPI number 1346358025
LBN Legal business name Raynor, Lori R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1346358025 NPPES
Florida MEDICAID 621096100

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