Lara Aslam
Individual provider Active NPI Critical Care Medicine Registered Nurse · Maumee, OH
NPI 1902587348 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1902587348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- RN.392817 (OH)
- Practice address
- 6157 S Chanticleer Dr
Maumee, OH 43537-1303 - Phone
- (419) 345-0055
- NPI assigned
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.392817 | OH | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.392817 | OH | Yes |
Addresses
Primary practice location
6157 S Chanticleer Dr
Maumee, OH 43537-1303
Mailing address
6157 S Chanticleer Dr
Maumee, OH 43537-1303
Phone (419) 345-0055
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All providers in Maumee, OH · Critical Care Medicine Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.