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NPI Code Detail

MEDICARE: LAURA GILMER

MEDICARE: LAURA GILMER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265930416
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA GILMER
Provider Business Mailing Address
First Line : 1895 OAKWOOD AVE
Second Line :
City : NAPOLEON
State : OH
Zip : 43545-9243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 732 MAIN ST
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2397
Country : US
Telephone Number : 419-691-0600
Fax Number : 419-691-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2018
Last Update Date : 04/01/2021

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Directions to “ LAURA GILMER ” Practice Location

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