Provider Demographics
NPI:1336556984
Name:LORD, ERIN ELIZABETH (OD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:LORD
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 1:35 ROCKWAY AVE UNIT 403
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-4020
Mailing Address - Country:US
Mailing Address - Phone:781-223-6093
Mailing Address - Fax:
Practice Address - Street 1:870 PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6806
Practice Address - Country:US
Practice Address - Phone:781-329-0067
Practice Address - Fax:781-320-5603
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5062152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist