| Sozo Pediatrics | |
|
625 Garfield Ave Lancaster OH 43130-2432 | |
| (614) 214-2534 | |
| Not Available |
| Full Name | Sozo Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 625 Garfield Ave, Lancaster, Ohio |
| Authorized Official Name and Position | Amy Provenzano (CEO/PROVIDER) |
| Authorized Official Contact | 6142142534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sozo Pediatrics 625 Garfield Ave Lancaster OH 43130-2432 Ph: (614) 214-2534 | Sozo Pediatrics 625 Garfield Ave Lancaster OH 43130-2432 Ph: (614) 214-2534 |
| NPI Number | 1831757822 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831757822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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