Individual
LAWRENCE WAYNE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11435 COLTHAR RD, BETHEL, OH 45106-9602
(513) 508-3910
Mailing address
11435 COLTHAR RD, BETHEL, OH 45106-9602
(513) 508-3910
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801035
—
OH
Enumeration date
01/11/2021
Last updated
01/11/2021
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