Provider Demographics
NPI:1346937547
Name:HULSMAN, LARANE
Entity type:Individual
Prefix:
First Name:LARANE
Middle Name:
Last Name:HULSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37334 HARLOW DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5758
Mailing Address - Country:US
Mailing Address - Phone:216-319-0563
Mailing Address - Fax:
Practice Address - Street 1:37334 HARLOW DR
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-5758
Practice Address - Country:US
Practice Address - Phone:216-319-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty