Individual
DR. LAURIE A RAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
241 THREE SPRINGS DR STE 14, WEIRTON, WV 26062-3866
(304) 748-2055
(304) 748-2054
Mailing address
241 THREE SPRINGS DR STE 14, WEIRTON, WV 26062-3866
(304) 748-2055
(304) 748-2054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
706-OD
WV
152W00000X
Optometrist
OEG001174
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006166
—
WV
Enumeration date
08/18/2006
Last updated
11/14/2016
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