Provider Demographics
NPI:1235909359
Name:CLIMER, LAURA JOAN
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:JOAN
Last Name:CLIMER
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 1:4800 DUVALL RD LOT 233
Mailing Address - Street 2:
Mailing Address - City:ASHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43103-9338
Mailing Address - Country:US
Mailing Address - Phone:740-497-6470
Mailing Address - Fax:
Practice Address - Street 1:4800 DUVALL RD # LOTB233
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:OH
Practice Address - Zip Code:43103-9208
Practice Address - Country:US
Practice Address - Phone:740-497-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3057178374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide