Provider Demographics
NPI:1790062792
Name:SEGER, LAURA ANGELA (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANGELA
Last Name:SEGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6536 STATE ROUTE 718
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45359-8754
Mailing Address - Country:US
Mailing Address - Phone:937-570-3985
Mailing Address - Fax:
Practice Address - Street 1:6536 STATE ROUTE 718
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:OH
Practice Address - Zip Code:45359-8754
Practice Address - Country:US
Practice Address - Phone:937-570-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN360013163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse