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3425 Executive Pkwy Suite 131 Toledo OH 43606-1326 | |
| (419) 531-2127 | |
| (419) 531-2664 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3425 Executive Pkwy, Toledo, Ohio |
| Authorized Official Name and Position | Barry A Lazarus (VICE PRESIDENT) |
| Authorized Official Contact | 4192525518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3425 Executive Pkwy Suite 131 Toledo OH 43606-1326 Ph: (419) 531-2127 | 3425 Executive Pkwy Suite 131 Toledo OH 43606-1326 Ph: (419) 531-2127 |
| NPI Number | 1245407410 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245407410 | NPI | - | NPPES |
| DA0947 | Other | FL | RAILROAD MEDICARE |
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