Individual
DR. LAURIE A NIELSEN-HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
915 MICHIGAN ST STE 100, SIDNEY, OH 45365-2401
(937) 419-8049
(937) 419-8050
Mailing address
915 MICHIGAN ST STE 100, SIDNEY, OH 45365-2401
(937) 419-8049
(937) 419-8050
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-3195-N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304303
—
OH
01
—
P00248977
MEDICARE RAILROAD
OH
Enumeration date
06/16/2005
Last updated
07/13/2022
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