Active NPIIndividual provider

Lara Householder

Family Medicine in Athens, Ohio

NPI Number1053970509
Practice location
26 E Park Dr Ste 105C, Athens, OH 45701-5003
Fax
—
Last updated
September 6, 2023

Lara Householder is a Family Medicine based in Athens, OH. Lara Householder practices in Athens, OH. The NPI Number for Lara Householder is 1053970509 and holds a License No. 34.016620 (OH). The current practice location address for Lara Householder is 26 E Park Dr Ste 105C, Athens, OH 45701-5003 and can be reached out via phone at 740-423-4015.

Provider Profile Details

NPI Number
1053970509
Provider Name
Lara Householder
Provider Entity Type
Individual
Gender
Female
Address
26 E Park Dr Ste 105C, Athens, OH 45701-5003
Phone Number
740-423-4015
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2019
Last Update Date
September 6, 2023
Certification Date
September 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 E Park Dr Ste 105C
Athens, OH 45701-5003
City
Athens
State
Ohio
Zip
45701-5003
Phone Number
740-423-4015
Athens, OH 45701Get directions →

Provider Business Mailing Address Details

Address
149 North St
Waterville, ME 04901-4974
City
Waterville
State
ME
Zip
04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341

License Information

License Number
34.016620
License State
OH
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lara Householder?

The NPI number of Lara Householder is 1053970509. It was assigned on June 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Lara Householder?

Lara Householder is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OH under license number 34.016620.

Where does Lara Householder practice?

The practice location is 26 E Park Dr Ste 105C, Athens, OH 45701-5003. The office can be reached at 740-423-4015 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053970509 directly on the NPPES registry website.

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