Lorne Yudcovitch in Forest Grove - Pediatrics
Lorne Yudcovitch - NPI 1487645586
Lorne Yudcovitch is a Pediatrics in Forest Grove, Oregon. Lorne Yudcovitch practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lorne Yudcovitch is 1487645586. The last update date is 2020-04-13.
Lorne Yudcovitch's current location address is 2043 College Way, Forest Grove, Oregon. You can contact this provider via phone number 5033522781. The mailing address for Lorne Yudcovitch is 2043 College Way, Forest Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lorne Yudcovitch |
|---|---|
| Address | 2043 College Way, Forest Grove, Oregon |
| Phone Number | 5033522781 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1487645586 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
| Address | 2043 College Way |
|---|---|
| City | Forest Grove |
| State | Oregon (OR) |
| Post Code | 971161756 |
| Phone Number | 5033522781 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 2588AT |
|
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 168366 | OR | -- | |
| 300200803 | BC HMO/FC 65 | ||
| 2588AT | OR | STATE OPTOMETRY LICENSE # | |
| 5255690001 | DMERC | ||
| 831474004 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
Could you please provide the complete street address where Lorne Yudcovitch is physically located?
The Lorne Yudcovitch is physically situated at the following address: 2043 College Way, Forest Grove, OR, 971161756.
What is Lorne Yudcovitch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lorne Yudcovitch is Pediatrics, and the taxonomy code that categorizes this field of expertise is 152Wp0200X.
On what date did the Lorne Yudcovitch receive its 1487645586 assignment from the Centers for Medicare & Medicaid Services?
The Lorne Yudcovitch was assigned its 1487645586 by the Centers for Medicare & Medicaid Services on 2005-10-31.
As of what date were the Lorne Yudcovitch's details last updated?
The information pertaining to the Lorne Yudcovitch, including its address, specialty, and other details, was most recently updated on 2020-04-13.
As of what date were the details related to Lorne Yudcovitch most recently updated or revised?
The information pertaining to Lorne Yudcovitch, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-13.
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