Individual
LAURENCE RAHARDJANOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 866-9134
(614) 866-6964
Mailing address
245 TAYLOR STATION RD, COLUMBUS, OH 43213-4400
(614) 866-9134
(614) 866-6964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.6429
OH
Other
Enumeration date
01/08/2016
Last updated
02/27/2025
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