Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 01086435A | IN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35439 | KY |
N | 207RG0300X | Geriatric Medicine | 35071032 | OH |
NPI | 1154340453 |
---|---|
Provider Name | Dr. Laura M Trice |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2067141 | (05) | OH |