Individual
DR. LAURIE HOMMEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
697 THOMAS LN, COLUMBUS, OH 43214-3931
(614) 566-4398
(614) 566-6843
Mailing address
697 THOMAS LN, COLUMBUS, OH 43214-3931
(614) 566-4398
(614) 566-6843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35094914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050036
—
OH
01
—
H032450
MEDICARE
OH
Enumeration date
01/04/2009
Last updated
01/05/2022
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