Richards, Lauren Lofdahl

Richards, Lauren Lofdahl is an individual health care provider with primary practice located at 927 Maple Grove Dr Ste 209 , Fredericksburg VA 22407-6936. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Richards, Lauren Lofdahl can be contacted via phone (540) 208-5827.

Contact Information

Primary practice address
927 Maple Grove Dr Ste 209 Fredericksburg VA 22407-6936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002530 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 0618002735 Virginia

Profile Details

NPI number 1295014256
LBN Legal business name Richards, Lauren Lofdahl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Jan 24th, 2022 - about 4 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 1295014256 NPPES
Pennsylvania Other 12252249 CAQH PROVIDER ID

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