NPI | 1346734431 |
---|---|
Former Name | LANA KATHLEEN LAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.025499) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.025499) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2022-03-30 |