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Individual

DR. TOM ALAN SCULLION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
201 W LINCOLN WAY, LISBON, OH 44432-1103
(330) 424-7044
Mailing address
201 W LINCOLN WAY, LISBON, OH 44432-1103
(330) 424-7044

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3967-T760
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0692193
OH
Enumeration date
11/20/2006
Last updated
10/16/2024
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