Provider Demographics
NPI:1932435732
Name:FREEMAN, LAURA J (DC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BROSEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEVIEW
Mailing Address - State:OH
Mailing Address - Zip Code:43331-0107
Mailing Address - Country:US
Mailing Address - Phone:937-843-5286
Mailing Address - Fax:937-843-5285
Practice Address - Street 1:7399 STATE ROUTE 366 STE 2
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43324-9546
Practice Address - Country:US
Practice Address - Phone:937-842-2220
Practice Address - Fax:937-842-2227
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4027111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor