Healthcare Provider Details

I. General information

NPI: 1437086907
Provider Name (Legal Business Name): LAINEY RAE ZARSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15080 OLD STATE ROUTE 65
OTTAWA OH
45875-9518
US

IV. Provider business mailing address

15080 OLD STATE ROUTE 65
OTTAWA OH
45875-9518
US

V. Phone/Fax

Practice location:
  • Phone: 419-890-7400
  • Fax:
Mailing address:
  • Phone: 419-890-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: