Individual
LAINE D SOMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 CORPORATE CENTER DR UNIT B, VANDALIA, OH 45377-1168
(937) 684-4220
(937) 684-4320
Mailing address
505 CORPORATE CENTER DR UNIT B, VANDALIA, OH 45377-1168
(937) 684-4220
(937) 684-4320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.012755
OH
207Q00000X
Family Medicine Physician
Primary
34012755
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
N/A
—
Enumeration date
07/01/2014
Last updated
11/14/2022
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