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Organization
KETTERING HEALTH LEBANON HEALTH CENTER
Active
Organization
KETTERING HEALTH LEBANON HEALTH CENTER
Active
Parent organization
KETTERING HEALTH NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTERING HEALTH NETWORK
Authorized official
ANDREA SMITH (APP)
(513) 939-8018
Entity
Organization
Contact information
Practice address
1470 N BROADWAY ST STE 130, LEBANON, OH 45036-1762
(513) 696-1280
Mailing address
1470 N BROADWAY ST STE 130, LEBANON, OH 45036-1762
(513) 696-1280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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