Individual
LAURA E AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 WOOD ST, MANSFIELD, OH 44903-2260
(419) 522-2833
(419) 524-1619
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35124417
OH
Other
Enumeration date
08/06/2009
Last updated
08/25/2014
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