Organization Name: | AMELIA E LAING M.D. LTD |
NPI Number: | 1215117536 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMELIA E LAING (OWNER) |
Mailing Address: | 830 S Main St Ste 102 Orrville |
State: | OH US |
Postal Code: | 446672291 |
Phone Number: | 3307659104 |
Fax Number: | 3306820747 |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | BL5415547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |