Individual
DR. LAUREN RENEE EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
105 MOREY DR, MARYSVILLE, OH 43040-1647
(937) 642-2002
(937) 642-3620
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4266771
PTAN
OH
Enumeration date
08/21/2008
Last updated
03/30/2017
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