Individual
LAURA SUE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(855) 446-5937
(740) 566-4014
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.095134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039303
—
OH
Enumeration date
06/13/2007
Last updated
09/04/2025
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