Individual
LAURA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
730 JEFFERSON ST, PORT CLINTON, OH 43452-2414
(419) 626-6700
Mailing address
730 JEFFERSON ST, PORT CLINTON, OH 43452-2414
(419) 626-6700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34.016775
OH
Other
Enumeration date
06/17/2015
Last updated
01/22/2025
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