Individual
MR. ANDREW G. LAIR
Active
Individual
MR. ANDREW G. LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC, MED
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT05171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178624
ANTHEM PIN
OH
01
—
P00611846
RR MEDICARE PTAN
OH
Enumeration date
02/08/2006
Last updated
05/15/2019
Update your record
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