Provider Demographics
NPI:1780433714
Name:STUDER, LAURA SUSAN
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:SUSAN
Last Name:STUDER
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 1:305 GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-2808
Mailing Address - Country:US
Mailing Address - Phone:567-286-2040
Mailing Address - Fax:
Practice Address - Street 1:305 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-2808
Practice Address - Country:US
Practice Address - Phone:567-286-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide