Individual
DR. LAWRENCE JONATHAN MESARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
57 S WALNUT ST, LOGAN, OH 43138-1317
(740) 385-4006
(740) 385-4043
Mailing address
57 S WALNUT ST, LOGAN, OH 43138-1317
(740) 385-4006
(740) 385-4043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622497
—
OH
Enumeration date
09/29/2006
Last updated
12/28/2011
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