Healthcare Provider Details

I. General information

NPI: 1053635011
Provider Name (Legal Business Name): LAURA D PHILLIPS-CHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA DAWN PHILLIPS-CHOU MD

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 E MAIN ST STE 3200
REYNOLDSBURG OH
43068-2819
US

IV. Provider business mailing address

8050 E MAIN ST STE 3200
REYNOLDSBURG OH
43068-2819
US

V. Phone/Fax

Practice location:
  • Phone: 614-434-5437
  • Fax: 614-454-5438
Mailing address:
  • Phone: 614-434-5437
  • Fax: 614-454-5438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.098559
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: