DR. Holly Lee Hanbaum, OD

NPI #1225009913 in Newark, Ohio

Provider Information

NPI Number: 1225009913
Entity Type: Individual
Name: DR. Holly Lee Hanbaum, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 30, 2006
Last Updated: Sep 3, 2010

Practice Location

Address: 1010 NORTH 21ST ST
City: Newark
State: Ohio
ZIP Code: 43055-2922
Phone: (740) 366-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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