Individual provider · NPI-1

David Lorey

Technician/Technologist, Optician · Marietta, GA

NPI number1447942909
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1447942909
Entity type
Individual (NPI-1)
Name
David Lorey
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2023
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianLDO002650GAYes

Practice location

150 Cobb Pkwy S
Marietta, GA 30060-9209

Phone 770-499-8332

Mailing address

150 Cobb Pkwy S
Marietta, GA 30060-9209

Phone 770-499-8332 · Fax 770-499-1809

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician/Technologist, Optician providers in Marietta, GA