Rodeffer, Lara M

Rodeffer, Lara M is an individual health care provider with primary practice located at 3188 Bellevue Ave , Cincinnati OH 45219-2369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rodeffer, Lara M can be contacted via phone (513) 558-5281.

Contact Information

Primary practice address
3188 Bellevue Ave Cincinnati OH 45219-2369
Phone: (513) 558-5281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71012422A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0029470 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0029470 Ohio

Profile Details

NPI number 1629746276
LBN Legal business name Rodeffer, Lara M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Jul 3rd, 2024 - about 2 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 1629746276 NPPES
Indiana MEDICAID 300055281
Indiana MEDICAID 0460071

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