# LILIANE TCHAOUTCHOUA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194072306
- **Authorized official:** MISS LILIANE F TCHAOUTCHOUA (LPN)
- **Authorized official phone:** (614) 732-3089

## Contact information

- **Practice address:** 1971BAIRSFORD DRIVE, COLUMBUS, OH 43232-7000
- **Practice address phone:** (614) 732-3089
- **Mailing address:** 1971 BAIRSFORD DR, COLUMBUS, OH 43232-7000
- **Mailing address phone:** (614) 732-3089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 148425 | OH | Yes |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 08/07/2012