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Individual

DR. DENNIS R LAUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
107 S WALNUT ST, WOODVILLE, OH 43469-1333
(419) 849-3811
(419) 849-3374
Mailing address
107 S WALNUT ST, WOODVILLE, OH 43469-1333
(419) 849-3811
(419) 849-3374

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3075T937
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0303399
OH
Enumeration date
11/07/2006
Last updated
12/07/2016
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