Laney Sportsman, STUDENT

NPI #1417511023 in Blue Ash, Ohio

Provider Information

NPI Number
1417511023
Entity Type
Individual
Name
Laney Sportsman, STUDENT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
STUDENT
Enumeration Date
Apr 29, 2019
Last Updated
Feb 28, 2022

Practice Location

Address
4701 CREEK RD STE 110
State
Ohio
ZIP Code
45242-8330
Phone
(513) 347-9999

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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