Provider Demographics
NPI:1205623212
Name:LAUDER, EMMA G
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:G
Last Name:LAUDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MICHAEL LN APT 5
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-8087
Mailing Address - Country:US
Mailing Address - Phone:740-370-2929
Mailing Address - Fax:
Practice Address - Street 1:10 MICHAEL LN APT 5
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-8087
Practice Address - Country:US
Practice Address - Phone:740-370-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide