Individual
DR. LAURA L WEAKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 756-2003
Mailing address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
039505
GA
207RH0003X
Hematology & Oncology Physician
042.0016555
VT
207RH0003X
Hematology & Oncology Physician
Primary
35.149706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842454J
—
GA
05
—
000842454K
—
GA
Enumeration date
01/05/2006
Last updated
12/21/2023
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