Individual
LAURA THIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1536DT
KY
152W00000X
Optometrist
Primary
5242/ T2146
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311645431
U.H.C.
—
Enumeration date
08/30/2006
Last updated
06/28/2013
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