Individual
OLIVIA RAE LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1100
Mailing address
109 KERR AVE, POTEAU, OK 74953-5270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2020015670
MO
Other
Enumeration date
06/12/2020
Last updated
06/18/2024
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