Provider Demographics
NPI:1043849508
Name:O'HARA, LAURA (ND)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:O'HARA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:O'HARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:9950 THOROUGHBRED LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2779
Mailing Address - Country:US
Mailing Address - Phone:513-921-2521
Mailing Address - Fax:
Practice Address - Street 1:9950 THOROUGHBRED LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2779
Practice Address - Country:US
Practice Address - Phone:513-921-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000OtherN/A