Provider Demographics
NPI:1962499707
Name:LAING, AMELIA E (MD LTD)
Entity Type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:E
Last Name:LAING
Suffix:
Gender:F
Credentials:MD LTD
Other - Prefix:DR
Other - First Name:AMELIA
Other - Middle Name:E
Other - Last Name:LAING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD LTD
Mailing Address - Street 1:830 S MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-2218
Mailing Address - Country:US
Mailing Address - Phone:330-765-9104
Mailing Address - Fax:330-682-0747
Practice Address - Street 1:830 S MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-2218
Practice Address - Country:US
Practice Address - Phone:330-765-9104
Practice Address - Fax:330-682-0747
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHBL5415547207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2172483Medicaid
OHLA7262721Medicare PIN
OHLA4058321Medicare PIN
OHG53617Medicare UPIN