Individual
JESSICA R LAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15120 S MAIN ST, MILAN, OH 44846-9761
(419) 357-6130
Mailing address
15120 S MAIN ST, MILAN, OH 44846-9761
(419) 357-6130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027814
OH
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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