Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35-07-8866-S | OH |
NPI | 1003818840 |
---|---|
Provider Name | Dr. Laura E Barr |
First Address | Millersburg, OH 44654-8949 |
Second Address | Millersburg, OH 44654-8949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 22/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2251450 | (05) | OH |
341774347 | TAX ID (01) | OH |
H39533 | (02) | OH |