Individual
LAUREN E GRILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
32 S MAIN ST, MINSTER, OH 45865-1303
(567) 603-3172
(567) 603-3180
Mailing address
32 S MAIN ST, MINSTER, OH 45865-1303
(567) 603-3172
(567) 603-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5945
OH
152W00000X
Optometrist
T2860
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080535
—
OH
Enumeration date
07/28/2010
Last updated
05/19/2022
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