Individual
LAURA ROCHELLE KNOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
969 READING RD STE N, MASON, OH 45040
(513) 604-1004
(513) 437-0571
Mailing address
969 READING RD STE N, MASON, OH 45040-2654
(513) 604-1004
(513) 437-0571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080386
—
OH
Enumeration date
04/26/2007
Last updated
04/22/2020
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