Provider Demographics
NPI:1235494915
Name:STEYN, LORI (OD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:STEYN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 MONTELENA CT
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8376
Mailing Address - Country:US
Mailing Address - Phone:775-230-5773
Mailing Address - Fax:
Practice Address - Street 1:2874 N CARSON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0251
Practice Address - Country:US
Practice Address - Phone:775-887-8866
Practice Address - Fax:775-461-0299
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10273152W00000X
NV313152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist