Provider Demographics
NPI:1881379311
Name:HUGHES, LAUREL MEGAN
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:MEGAN
Last Name:HUGHES
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 1:9215 FLYFISHER WAY
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-9518
Mailing Address - Country:US
Mailing Address - Phone:330-256-8443
Mailing Address - Fax:
Practice Address - Street 1:9215 FLYFISHER WAY
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-9518
Practice Address - Country:US
Practice Address - Phone:330-256-8443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator