| New Lebanon Family Care | |
|
220 E Main St New Lebanon OH 45345-1299 | |
| (937) 687-1331 | |
| (937) 687-3216 |
| Full Name | New Lebanon Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 220 E Main St, New Lebanon, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Lebanon Family Care 220 E Main St New Lebanon OH 45345-1299 Ph: (937) 687-1331 | New Lebanon Family Care 220 E Main St New Lebanon OH 45345-1299 Ph: (937) 687-1331 |
| NPI Number | 1972556272 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972556272 | NPI | - | NPPES |
| 0230655 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Primary Care Associates Of New Lebanon, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 W Main St, New Lebanon, OH 45345 Phone: 937-687-1911 Fax: 937-687-1888 |