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NPI Code Detail

MEDICARE: LAURA J OBERGEFELL N.P.-C

MEDICARE: LAURA J OBERGEFELL N.P.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP4865OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000324589OTHEROHANTHEM BLUE CROSS
3P00009985OTHEROHRR RAILROAD

General Provider Information

NPI Number : 1134126998
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA J OBERGEFELL N.P.-C
Provider Business Mailing Address
First Line : 1201 LAGUNA DR
Second Line :
City : HURON
State : OH
Zip : 44839-2608
Country : US
Telephone Number : 419-433-6172
Fax Number :
Provider Business Practice Location Address
First Line : 1111 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-3323
Country : US
Telephone Number : 419-557-6363
Fax Number : 419-557-6361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/04/2008

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