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Contact Information

LARA M RODEFFER
3188 BELLEVUE AVE
CINCINNATI, OH45219-2369
 Phone: 513-558-5281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LARA M RODEFFER · (Female)

NPI # 1629746276
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2021
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 71012422A
  • OH License # 0029470
  • OH License # APRN.CNP.0029470
  • IN Medicaid 300055281
  • OH Medicaid 0460071
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
  • REID HOSPITAL & HEALTH CARE SERVICES - (Acute Care)
    1100 REID PKWY
    RICHMOND, IN 47374
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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