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NPI Code Detail

MEDICARE: LORI MILLS HELMAN OD

MEDICARE:   LORI MILLS HELMAN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOP0002247FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410023143OTHERFLRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1205839396
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI MILLS HELMAN OD
Provider Business Mailing Address
First Line : 708 BROADOAK LOOP
Second Line :
City : SANFORD
State : FL
Zip : 32771-7184
Country : US
Telephone Number : 407-415-9602
Fax Number :
Provider Business Practice Location Address
First Line : 2303 S BAY ST
Second Line :
City : EUSTIS
State : FL
Zip : 32726-6360
Country : US
Telephone Number : 352-357-1027
Fax Number : 352-357-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/09/2024

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Directions to “ LORI MILLS HELMAN OD” Practice Location

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