Individual
LAURIE DEWINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA,CCC-A
Contact information
Practice address
3302 WESTBOURNE DR, CINCINNATI, OH 45248-5133
(513) 922-0123
(513) 922-3572
Mailing address
3302 WESTBOURNE DR, CINCINNATI, OH 45248-5133
(513) 922-0123
(513) 922-3572
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL9350991
GROUP PIN
OH
Enumeration date
04/10/2006
Last updated
07/08/2007
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