Laurel A Jordan O.D.

NPI 1003820051 - Optometrist - 152W00000X

NPI Details
NPI 1003820051
Gender Female
Enumeration Date 07/27/2006
Last Updated 06/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
301 N WASHINGTON HWY
SUITE 102
ASHLAND VA, 23005-1650, US
Phone (804) 798-3306
Fax (804) 798-3617
Business Location
301 N. WASHINGTON HWY
SUITE 102
ASHLAND VA, 23005, US
Phone (540) 287-3290
Fax (804) 798-3617
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618001037
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According to our database, Dr. Laurel A Jordan O.D. NPI is 1003820051, taxonomy code is 152W00000X and license number is 0618001037, license state is located at Virginia. Laurel A Jordan O.D. physically located at 301 N Washington Hwy, Ashland VA, 23005-1650. NPI Number Laurel A Jordan O.D. has the Individual type.

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1003820051 NPI number is provided on an as is basis without warranty of any kind. 1003820051 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel A Jordan O.D. are for informational purposes only.