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Individual

DR. LAURA MICHELE CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
2216 WOODMAN DR, KETTERING, OH 45420-1370
(937) 222-1000
Mailing address
954 THORNDALE DR, DAYTON, OH 45429-5828
(937) 371-6084

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
A01213
OH
231HA2500X
Assistive Technology Supplier Audiologist
A01213
OH
237600000X
Audiologist-Hearing Aid Fitter
Primary
A01213
OH

Other

Enumeration date
06/15/2006
Last updated
10/22/2024
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