Provider Demographics
NPI:1598908485
Name:LABOR, NICOLE THERESA (DO)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:THERESA
Last Name:LABOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:444 N MAIN ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3110
Mailing Address - Country:US
Mailing Address - Phone:330-379-8190
Mailing Address - Fax:330-379-8191
Practice Address - Street 1:444 N MAIN ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3110
Practice Address - Country:US
Practice Address - Phone:330-379-8190
Practice Address - Fax:330-379-8191
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY60 252295207Q00000X
PAOS014921207QA0401X
OH34010211207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine