Individual
LAURA M DEVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-2364
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
35.130515
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2013
Last updated
06/19/2018
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