Organization
LAURA A MUSSER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A. MUSSER D.O. (OWNER)
(330) 506-2833
Entity
Organization
Contact information
Practice address
22 MCCLURG RD, YOUNGSTOWN, OH 44512-6736
(330) 965-9400
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317986
—
OH
01
—
H652740
MEDICARE PTAN
OH
Enumeration date
10/05/2018
Last updated
02/19/2019
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