Individual
LAUREN IVANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1730 MIDBROOK DR, COLUMBIA, SC 29229-8284
(262) 339-9282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.2544
SC
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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