Healthcare Provider Details

I. General information

NPI: 1043227499
Provider Name (Legal Business Name): LAURA W MEYER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 DARROW RD
STOW OH
44224-1854
US

IV. Provider business mailing address

4465 DARROW RD
STOW OH
44224-1854
US

V. Phone/Fax

Practice location:
  • Phone: 330-688-9918
  • Fax: 330-688-6338
Mailing address:
  • Phone: 330-688-9918
  • Fax: 330-688-6338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34006620
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: