Provider Demographics
NPI:1396200481
Name:LAUGHMAN, LYDIA M (FNP)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:M
Last Name:LAUGHMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:M
Other - Last Name:LAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:479 HERITAGE SQ
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-8211
Mailing Address - Country:US
Mailing Address - Phone:513-377-0919
Mailing Address - Fax:
Practice Address - Street 1:7200 BLUE ASH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3626
Practice Address - Country:US
Practice Address - Phone:513-975-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013706363L00000X
OHAPRN.CNP.024164363LF0000X
OH024164363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily