Individual
LANETRA M MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
464 E MAIN ST STE J, COLUMBUS, OH 43215-5448
(614) 754-8077
Mailing address
1837 SHARBOT DR, COLUMBUS, OH 43229-5762
(419) 233-5030
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
Q2L6Q8Q6
OH
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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