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Individual

LAURIAN MARK DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MIRANOVA PL APT 825, COLUMBUS, OH 43215-5081
(614) 981-2608
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35077603
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.077603
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2157428
OH
01
300125121
RR MEDICARE
OH
Enumeration date
01/16/2006
Last updated
03/11/2026
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