Individual
ELIZABETH LAUREN NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 BUCKLES CT N STE 100, GAHANNA, OH 43230-6927
(614) 986-0125
Mailing address
680 BUCKLES CT N STE 100, GAHANNA, OH 43230-6927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50.0099997RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.0099997RX
OH
Other
Enumeration date
06/26/2026
Last updated
07/16/2026
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