Lara Householder

NPI #1053970509 in Athens, Ohio

Provider Information

NPI Number: 1053970509
Entity Type: Individual
Name: Lara Householder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jun 9, 2019
Last Updated: Sep 6, 2023

Practice Location

Address: 26 E PARK DR STE 105C
City: Athens
State: Ohio
ZIP Code: 45701-5003
Phone: (740) 423-4015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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