Individual
CAITLIN LAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6375 WINCHESTER BLVD STE A, CANAL WINCHESTER, OH 43110-2062
(614) 524-4146
Mailing address
1635 KINGSWAY DR, XENIA, OH 45385-9589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008335RX
OH
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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