Individual
CHELSEA LOCY-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3705 STATE RD, ASHTABULA, OH 44004-5957
(440) 997-2020
Mailing address
3224 NINETY RD, ASHTABULA, OH 44004-9606
(440) 474-3106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG003218
PA
152W00000X
Optometrist
Primary
OPT. 6477.
OH
Other
Enumeration date
06/07/2016
Last updated
08/04/2016
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