MEDICARE: DR. LAURA SCHAEFFER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	34-007313	OH

General Provider Information

NPI Number	:	1326047028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA SCHAEFFER DO

Provider Business Mailing Address
First Line	:	ONE HEALTHY PLACE
Second Line	:	STE 205
City	:	PATASKALA
State	:	OH
Zip	:	43062
Country	:	US
Telephone Number	:	740-348-1930
Fax Number	:	740-348-1931

Provider Business Practice Location Address
First Line	:	ONE HEALTHY PLACE
Second Line	:	STE 205
City	:	PATASKALA
State	:	OH
Zip	:	43062
Country	:	US
Telephone Number	:	740-348-1930
Fax Number	:	740-348-1931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	03/18/2021

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