Healthcare Provider Details

I. General information

NPI: 1447502273
Provider Name (Legal Business Name): LAURA R ELSEA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 TIFFIN AVE
FINDLAY OH
45840-6852
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9056
US

V. Phone/Fax

Practice location:
  • Phone: 419-427-3320
  • Fax: 419-427-1697
Mailing address:
  • Phone: 419-685-8010
  • Fax: 419-932-6232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0901399
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: