Provider Demographics
NPI:1497862957
Name:SNYDER, LORI SUZANNE (MD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:SUZANNE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-662-4512
Mailing Address - Fax:540-722-4512
Practice Address - Street 1:1845 PLAZA DR
Practice Address - Street 2:EYE ASSOCIATES OF WINCHESTER INC
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-662-4512
Practice Address - Fax:540-722-5284
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234941207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA118573OtherANTHEM BCBS
VA118573OtherANTHEM BCBS
G95226Medicare UPIN