# LAKOTA MEDICAL, LLC

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

## Provider details

- **NPI number:** 1730192097
- **Authorized official:** WILLIAM D MILES D.O. (PRESIDENT)
- **Authorized official phone:** (513) 893-8000

## Contact information

- **Practice address:** 1755 S ERIE HWY STE A, HAMILTON, OH 45011-4145
- **Practice address phone:** (513) 893-8000
- **Practice address fax:** (513) 893-8200
- **Mailing address:** 2466 TENNYSON DR, BELLBROOK, OH 45305-1744
- **Mailing address phone:** (513) 893-8000
- **Mailing address fax:** (937) 848-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 34-004296 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/10/2009