Individual
MATTHEW P. LAUBHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6515 PULLMAN DR, LEWIS CENTER, OH 43035-7380
(614) 688-7150
(614) 688-7155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 688-7150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1689092462
IL
207R00000X
Internal Medicine Physician
Primary
34.014554
OH
207RC0000X
Cardiovascular Disease Physician
1689092462
IL
208000000X
Pediatrics Physician
1689092462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417412
—
OH
Enumeration date
03/31/2014
Last updated
12/16/2020
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