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Individual

MRS. MEGAN D LAUVRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3533 SOUTHERN BLVD, SUITE 4300, KETTERING, OH 45429-1272
(937) 610-3220
(937) 610-3225
Mailing address
7756 WASHINGTON VILLAGE DR STE 145, DAYTON, OH 45459-3999
(937) 610-3220
(937) 610-3225

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA13112NP
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA13112-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087198
OH
05
APPLIED/PENDING
OH
01
COA13112NP
OHIO LICENSE
OH
Enumeration date
02/01/2012
Last updated
01/19/2021
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