Laus, Agnes M
Laus, Agnes M is an individual health care provider with primary practice located at 1781 Countryside Dr , Lancaster OH 43130-4056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Laus, Agnes M can be contacted via phone (740) 687-8600.Contact Information
Primary practice address
1781 Countryside Dr
Lancaster OH 43130-4056
Phone: (740) 687-8600
Fax: (740) 653-8236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35070728L | Ohio |
Profile Details
| NPI number | 1881670974 |
|---|---|
| LBN Legal business name | Laus, Agnes M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881670974 | NPPES |
| Other | 510450201027 | CARESOURCE | |
| Other | 000000323677 | CARESOURCE | |
| MEDICAID | 0273396 | CARESOURCE |
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