Individual
LAURIE MARIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504
(330) 744-2118
(330) 744-2110
Mailing address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 744-2118
(330) 744-2110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003186
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003186
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082588
—
OH
Enumeration date
10/31/2008
Last updated
08/02/2018
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