Healthcare Provider Details

I. General information

NPI: 1942120936
Provider Name (Legal Business Name): LAURIE ANN LEMASTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 E GRANT ST
MALVERN OH
44644-7014
US

IV. Provider business mailing address

409 E GRANT ST
MALVERN OH
44644-7014
US

V. Phone/Fax

Practice location:
  • Phone: 234-413-9816
  • Fax:
Mailing address:
  • Phone: 234-413-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number401581511013
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: