Individual
LAUREN MARIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-5155
(419) 251-5160
Mailing address
136 RUTLEDGE DR, WATERVILLE, OH 43566-1143
(419) 356-6111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008403RX
OH
Other
Enumeration date
09/12/2022
Last updated
10/05/2023
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