Individual
DR. H LARA BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7760 OLENTANGY RIVER ROAD, SUITE 105, COLUMBUS, OH 43235-1332
(614) 848-3310
(614) 848-3516
Mailing address
7760 OLENTANGY RIVER ROAD, SUITE 105, COLUMBUS, OH 43235-1332
(614) 848-3310
(614) 848-3516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4740
OH
Other
Enumeration date
10/11/2006
Last updated
10/12/2008
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