Provider Demographics
NPI:1891401295
Name:LAOUAR, MESS
Entity Type:Individual
Prefix:
First Name:MESS
Middle Name:
Last Name:LAOUAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9478 LONGREN CT
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6028
Mailing Address - Country:US
Mailing Address - Phone:513-913-5996
Mailing Address - Fax:
Practice Address - Street 1:9478 LONGREN CT
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6028
Practice Address - Country:US
Practice Address - Phone:513-913-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide