Lara Householder, | |
26 E Park Dr Ste 105c, Athens, OH 45701-5003 | |
(740) 423-4015 | |
Not Available |
Full Name | Lara Householder |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 26 E Park Dr Ste 105c, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053970509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.016620 (Ohio) | Primary |
Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
Mailing Address | Practice Location Address |
---|---|
Lara Householder, 149 North St, Waterville, ME 04901-4974 Ph: (207) 861-5101 | Lara Householder, 26 E Park Dr Ste 105c, Athens, OH 45701-5003 Ph: (740) 423-4015 |
Dr. Beryl R Fruth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510b W Union St, Athens, OH 45701 Phone: 740-593-7314 | |
Dr. Joseph Allen Holtel, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Dr. Tracy Lynne Shaub, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2nd Floor Parks Hall, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 | |
Krista M Duval, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Brooke Nicole Dorothy Smith, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26 Hospital Drive, 2nd Floor, Athens, OH 45701 Phone: 740-249-4122 | |
Melinda E Ford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 W Green Dr Ste 246, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 |