Healthcare Provider Details

I. General information

NPI: 1497862957
Provider Name (Legal Business Name): LORI SUZANNE SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 PLAZA DR EYE ASSOCIATES OF WINCHESTER INC
WINCHESTER VA
22601
US

IV. Provider business mailing address

1845 PLAZA DR
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-662-4512
  • Fax: 540-722-5284
Mailing address:
  • Phone: 540-662-4512
  • Fax: 540-722-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101234941
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: