Individual
TINA M LAUDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 WALSH AVE, COLUMBUS, OH 43223-1937
(614) 301-8294
Mailing address
1485 WALSH AVE, COLUMBUS, OH 43223-1937
(614) 301-8294
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
M25444429
OH
171W00000X
Contractor
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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