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NPI Code Detail

MEDICARE: LAURA BAIR

MEDICARE: LAURA BAIR
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
1174400000XSpecialistOT.009125OH

General Provider Information

NPI Number : 1740734862
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BAIR
Provider Business Mailing Address
First Line : 201 DUCK POND RD
Second Line :
City : UPPER SANDUSKY
State : OH
Zip : 43351-9612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 CHRISTOPHER DR
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-3318
Country : US
Telephone Number : 419-435-8112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2016
Last Update Date : 08/05/2016

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Directions to “ LAURA BAIR ” Practice Location

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