Provider Demographics
NPI:1770681157
Name:LORAND, ANDREW LLOYD (OD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LLOYD
Last Name:LORAND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23512 E BAINTREE RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1250
Mailing Address - Country:US
Mailing Address - Phone:818-781-5044
Mailing Address - Fax:
Practice Address - Street 1:14553 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4325
Practice Address - Country:US
Practice Address - Phone:661-297-2020
Practice Address - Fax:661-297-3380
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8272T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0082720Medicaid
CASD0082720Medicaid