Individual
AMANDA LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.414880
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.024109
OH
Other
Enumeration date
01/10/2019
Last updated
01/30/2019
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