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NPI Code Detail

MEDICARE: WILLIAM PAGE LAYMAN LISW

MEDICARE: WILLIAM PAGE LAYMAN LISW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1578877049
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM PAGE LAYMAN LISW
Provider Business Mailing Address
First Line : 25 ROBERT DR
Second Line :
City : ROSSVILLE
State : OH
Zip : 45013-4280
Country : US
Telephone Number : 513-371-0439
Fax Number : 513-371-0439
Provider Business Practice Location Address
First Line : 909 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1105
Country : US
Telephone Number : 513-977-6813
Fax Number : 513-977-6836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 12/09/2014

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Directions to “ WILLIAM PAGE LAYMAN LISW” Practice Location

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