Individual
LAUREN TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7200 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-8809
Mailing address
7200 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-8809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6467
OH
Other
Enumeration date
07/05/2016
Last updated
08/29/2016
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