Provider Demographics
NPI:1487804647
Name:DILAURO, MARIE NANCY (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:NANCY
Last Name:DILAURO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 E WILSON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2357
Mailing Address - Country:US
Mailing Address - Phone:614-885-3500
Mailing Address - Fax:614-527-1812
Practice Address - Street 1:47 E WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2357
Practice Address - Country:US
Practice Address - Phone:614-885-3500
Practice Address - Fax:614-527-1812
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35042436207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine