Individual
DR. LAURA J WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 N EASTOWN RD, LIMA, OH 45807-2268
(419) 998-4699
(419) 998-4688
Mailing address
951 COMMERCE PKWY, SUITE 101, LIMA, OH 45804-4040
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052128
OH
208D00000X
General Practice Physician
ME114172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345736
ANTHEM
OH
01
—
04647
PARAMOUNT
OH
05
—
0615641
—
OH
01
—
735059
BUCKEYE
OH
01
—
P00160325
RAILROAD MEDICARE
OH
Enumeration date
05/16/2006
Last updated
02/19/2019
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