| NPI | 1780100446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S LIPPITT President 937-534-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP10426) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |