Provider Demographics
NPI:1255113650
Name:KREMSER, LAURA L
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:L
Last Name:KREMSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2367 GEORGIA DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5807
Mailing Address - Country:US
Mailing Address - Phone:216-337-4964
Mailing Address - Fax:
Practice Address - Street 1:2367 GEORGIA DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5807
Practice Address - Country:US
Practice Address - Phone:216-337-4964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker