Individual
DIANA LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 N 21ST ST, NEWARK, OH 43055-3090
(740) 364-9130
(740) 364-9159
Mailing address
250 WALDEN RD, NEWARK, OH 43056-1413
(614) 361-2377
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.9899SC
OH
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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