Provider Demographics
NPI:1285832576
Name:HAMMER, LAURA L (COTAL)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:L
Last Name:HAMMER
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 CHEYENNE DR
Mailing Address - Street 2:
Mailing Address - City:RITTMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44270-1289
Mailing Address - Country:US
Mailing Address - Phone:330-925-3592
Mailing Address - Fax:
Practice Address - Street 1:5005 HIGBEE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2521
Practice Address - Country:US
Practice Address - Phone:330-492-7835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1203A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist