| NPI | 1841274008 |
|---|---|
| Other Name | WESTERN LUCAS COUNTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BOB PONGTANA Director, Administrative Services 419-213-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-08-22 |