Individual
JULIE LAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23664 BAYS RD, CUSTAR, OH 43511-9770
(419) 601-3319
Mailing address
23664 BAYS RD, CUSTAR, OH 43511-9770
(419) 601-3319
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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