Organization
PREMIERE WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY LAKE (REGISTERED NURSE)
(513) 985-0950
Entity
Organization
Contact information
Practice address
8261 CORNELL RD, SUITE 610-B, CINCINNATI, OH 45249-2278
(513) 985-0950
(513) 792-5191
Mailing address
8261 CORNELL RD, SUITE 610-B, CINCINNATI, OH 45249-2278
(513) 985-0950
(513) 792-5191
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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