LARA HOUSEHOLDER

ATHENS, OH
NPI1053970509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34.016620)
Enumeration Date2019-06-09
Last Update Date2023-09-06
Business Address
LARA HOUSEHOLDER
26 E PARK DR STE 105C
ATHENS, OH 45701-5003
Phone number: 740-423-4015
Mailing Address
LARA HOUSEHOLDER
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-861-5101
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