Individual
LAURA MARIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 COLEMANS XING, MARYSVILLE, OH 43040-7042
(937) 642-9495
(937) 642-4590
Mailing address
128 E OTTAWA ST, RICHWOOD, OH 43344-1267
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.007046-SC
OH
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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