Osborne, Lara C
Osborne, Lara C is an sole proprietor health care provider with primary practice located at 5790 Stillwell Beckett Rd , Oxford OH 45056-8931. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Osborne, Lara C can be contacted via phone (773) 732-0749.Contact Information
Primary practice address
5790 Stillwell Beckett Rd
Oxford OH 45056-8931
Phone: (773) 732-0749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.161773 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C2-5173 | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2103194 | Ohio |
Profile Details
| NPI number | 1912424979 |
|---|---|
| LBN Legal business name | Osborne, Lara C |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2017 |
| Last updated | Feb 19th, 2022 - about 3 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 | 1912424979 | NPPES |
| Ohio | MEDICAID | 0399794 |
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