Individual
LENA LACHELE JEFFERSON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8710
(513) 475-8023
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3637
(513) 245-3637
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.090628
OH
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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