Individual
MRS. LAURIE A POLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4098 RANDALL DR, BRUNSWICK, OH 44212-1614
(440) 759-6156
Mailing address
4098 RANDALL DR, BRUNSWICK, OH 44212-1614
(440) 759-6156
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
5213954
OH
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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