person
Ellen Detrick
Optician in Lima, Ohio
NPI 1114625282

Ellen Detrick is a Optician based in Lima, OH and is specialized in Optician. Ellen Detrick practices in Lima, OH. The NPI Number for Ellen Detrick is 1114625282 and holds a License No. OP.006949-SC (Ohio).

The current practice location address for Ellen Detrick is 2450 Allentown Rd, Lima, OH and can be reached out via phone at 419-371-2223 and via fax at 419-227-9800.

Location: 2450 Allentown Rd, Lima, OH, 45805-1712
person
Provider Profile Details
NPI Number
1114625282
Provider Name
Ellen Detrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
2450 Allentown Rd, Lima, OH, 45805-1712
Phone Number
419-371-2223
Fax Number
419-227-9800
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2450 Allentown Rd
City
State
Zip
45805-1712
Phone Number
419-371-2223
Fax Number
419-227-9800
person
Provider Business Mailing Address Details
Address
2450 Allentown Rd
City
State
Zip
45805-1712
Phone Number
419-371-2223
Fax Number
419-227-9800
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
OP.006949-SC (Ohio)
Definition
Definition to come...
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