| Lewisburg Family Practice | |
|
500 N Main St Lewisburg OH 45338-9503 | |
| (937) 962-2618 | |
| (937) 962-4971 |
| Full Name | Lewisburg Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 500 N Main St, Lewisburg, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisburg Family Practice 500 N Main St Lewisburg OH 45338-9503 Ph: (937) 962-2618 | Lewisburg Family Practice 500 N Main St Lewisburg OH 45338-9503 Ph: (937) 962-2618 |
| NPI Number | 1730454281 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730454281 | NPI | - | NPPES |
| 0062709 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Buckeye Mobile Dot Exams Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Floyd St, Lewisburg, OH 45338 Phone: 937-641-9389 |