Provider Demographics
NPI:1326047028
Name:SCHAEFFER, LAURA (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE HEALTHY PLACE
Mailing Address - Street 2:STE 205
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062
Mailing Address - Country:US
Mailing Address - Phone:740-348-1930
Mailing Address - Fax:740-348-1931
Practice Address - Street 1:ONE HEALTHY PLACE
Practice Address - Street 2:STE 205
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062
Practice Address - Country:US
Practice Address - Phone:740-348-1930
Practice Address - Fax:740-348-1931
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-007313207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0896974Medicare UPIN