Healthcare Provider Details

I. General information

NPI: 1780552463
Provider Name (Legal Business Name): LAURA HOFMEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

1023 DEVILS BACKBONE RD
CINCINNATI OH
45233-4813
US

V. Phone/Fax

Practice location:
  • Phone: 513-675-5148
  • Fax:
Mailing address:
  • Phone: 513-675-5148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: