Individual
LAURI ERWAY NANDYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2751 O'VARSITY WAY STE 335, CINCINNATI, OH 45221-4406
(513) 556-2564
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-061033
OH
Other
Enumeration date
10/24/2006
Last updated
03/24/2020
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