Provider Demographics
NPI:1114796968
Name:TRIGALET, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TRIGALET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 ROOT RD
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-2536
Mailing Address - Country:US
Mailing Address - Phone:440-787-8278
Mailing Address - Fax:
Practice Address - Street 1:411 ROOT RD
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-2536
Practice Address - Country:US
Practice Address - Phone:440-787-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant