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Organization
SOUTH DAYTON INTERNIST, INC.
Active
Organization
SOUTH DAYTON INTERNIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A LANEVE MD (OWNER)
(937) 298-7414
Entity
Organization
Contact information
Practice address
500 LINCOLN PARK BLVD, SUITE 220, KETTERING, OH 45429-3492
(937) 298-7414
(937) 298-4385
Mailing address
500 LINCOLN PARK BLVD, SUITE 220, KETTERING, OH 45429-3492
(937) 298-7414
(937) 298-4385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35020186
OH
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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