Individual
ELLEN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 TAYLOR PARK DR, REYNOLDSBURG, OH 43068-8052
(614) 863-0071
(614) 856-0534
Mailing address
2314 TAYLOR PARK DR, REYNOLDSBURG, OH 43068-8052
(614) 863-0071
(614) 856-0534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007068
OH
Other
Enumeration date
06/01/2022
Last updated
04/06/2025
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