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NPI Code Detail

MEDICARE: DR. LAURIE ANNE VERBOSKY M.D.

MEDICARE: DR. LAURIE ANNE VERBOSKY M.D.
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
1207Q00000XFamily Medicine Physician35081790OH
2207Q00000XFamily Medicine Physician39481KY
3207QG0300XGeriatric Medicine (Family Medicine) Physician35081790OH
4207QG0300XGeriatric Medicine (Family Medicine) Physician39481KY

General Provider Information

NPI Number : 1427075514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURIE ANNE VERBOSKY M.D.
Provider Business Mailing Address
First Line : 935 STATE ROUTE 28
Second Line :
City : MILFORD
State : OH
Zip : 45150-1957
Country : US
Telephone Number : 513-675-0085
Fax Number :
Provider Business Practice Location Address
First Line : 935 STATE ROUTE 28
Second Line :
City : MILFORD
State : OH
Zip : 45150-1957
Country : US
Telephone Number : 513-675-0085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 02/27/2017

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