Individual
TARA LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7794 5 MILE RD STE 240, CINCINNATI, OH 45230-2372
(513) 231-1575
(855) 818-3918
Mailing address
7794 FIVE MILE ROAD, SUITE 240, CINCINNATI, OH 45230
(513) 231-1575
(855) 818-3918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50004547RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160056
—
OH
05
—
7100220510
—
KY
Enumeration date
10/06/2006
Last updated
02/27/2023
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