Individual
LORETTA L. LAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.01057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204545
OH MEDICAID UNISON
OH
05
—
0098575
—
OH
05
—
9460011000
—
WV
01
—
P00640947
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
01/21/2021
Update your record
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