| NPI | 1639462765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN B. LAVIN Owner 614-738-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-11102) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-11-23 |