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NPI Code Detail

MEDICARE: LAURA T ADAM M.D.

MEDICARE: LAURA T ADAM 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 PhysicianA136805CA
2207Q00000XFamily Medicine Physician275039MA
3207R00000XInternal Medicine Physician35.152317OH
4207Q00000XFamily Medicine Physician35.152317OH

General Provider Information

NPI Number : 1619318532
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA T ADAM M.D.
Provider Business Mailing Address
First Line : 2145 N FAIRFIELD RD STE 100
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-2783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2145 N FAIRFILED RD
Second Line : STE 100
City : BEAVERCREEK
State : OH
Zip : 45431-2783
Country : US
Telephone Number : 937-558-3900
Fax Number : 937-558-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2013
Last Update Date : 04/08/2025

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Directions to “ LAURA T ADAM M.D.” Practice Location

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