Individual
ROMY T LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5580 BARTON RD UNIT 302, NORTH OLMSTED, OH 44070-3839
(440) 503-0091
Mailing address
5580 BARTON RD UNIT 302, NORTH OLMSTED, OH 44070-3839
(440) 503-0091
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390174
—
OH
Enumeration date
09/15/2020
Last updated
09/15/2020
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