Mendoza, Laura I

Mendoza, Laura I is an individual health care provider with primary practice located at 282 Benedict Ave Ste B, Norwalk OH 44857-2712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mendoza, Laura I can be contacted via phone (419) 668-9409.

Contact Information

Primary practice address
282 Benedict Ave Ste B Norwalk OH 44857-2712
Phone: (419) 668-9409
Fax: (419) 668-7099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 12451-NP Ohio

Profile Details

NPI number 1043599202
LBN Legal business name Mendoza, Laura I
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Dec 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043599202 NPPES
Ohio MEDICAID 0053752

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