Individual
LAWRENCE HAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(614) 487-7809
Mailing address
768 MICHIGAN AVE APT 306, COLUMBUS, OH 43215-1954
(734) 277-6732
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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