Provider Demographics
NPI:1083922306
Name:LOR, DOUA CHEE (OD)
Entity Type:Individual
Prefix:
First Name:DOUA
Middle Name:CHEE
Last Name:LOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:789 CONCORD PKWY N
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6035
Mailing Address - Country:US
Mailing Address - Phone:704-788-3333
Mailing Address - Fax:704-788-3337
Practice Address - Street 1:789 CONCORD PKWY N
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-6035
Practice Address - Country:US
Practice Address - Phone:704-788-3333
Practice Address - Fax:704-788-3337
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2204152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist