Individual
LAURA RAE SKIRTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(412) 303-7800
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006633RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439030
—
OH
Enumeration date
09/04/2020
Last updated
06/18/2025
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