Individual
KATLYN LASCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5394 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 274-1040
Mailing address
5394 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(262) 994-9763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002404
VA
Other
Enumeration date
05/27/2015
Last updated
08/25/2020
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