| NPI | 1285709345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA LACUESTA RANA Physician President 937-278-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34251) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 47883) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2013-05-03 |