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NPI Code Detail

MEDICARE: MEREDITH JO LAYMAN LISW

MEDICARE: MEREDITH JO LAYMAN LISW
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
11041C0700XClinical Social WorkerCW022255PA
21041C0700XClinical Social WorkerI0800064OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144490087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH JO LAYMAN LISW
Provider Business Mailing Address
First Line : 1100 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-3529
Country : US
Telephone Number : 419-999-2010
Fax Number : 419-999-6284
Provider Business Practice Location Address
First Line : 2535 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3728
Country : US
Telephone Number : 419-999-2055
Fax Number : 419-999-2058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2008
Last Update Date : 05/27/2022

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