| NPI | 1164410973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEMON President 419-352-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-05-29 |