Provider Demographics
NPI:1942199492
Name:DISHMAN, LAURABETH
Entity type:Individual
Prefix:
First Name:LAURABETH
Middle Name:
Last Name:DISHMAN
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 1:20900 STATE ROUTE 775
Mailing Address - Street 2:
Mailing Address - City:SCOTTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45678-9078
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20900 STATE ROUTE 775
Practice Address - Street 2:
Practice Address - City:SCOTTOWN
Practice Address - State:OH
Practice Address - Zip Code:45678-9078
Practice Address - Country:US
Practice Address - Phone:740-646-4395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide