Individual
MRS. JEAN M LAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 GILLIGAN AVE, CINCINNATI, OH 45233-4303
(513) 941-4151
Mailing address
2950 GILLIGAN AVE, CINCINNATI, OH 45233-4303
(513) 941-4151
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2705915
—
OH
Enumeration date
05/16/2007
Last updated
07/08/2007
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