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Individual

LEE H BRICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 KETTERING WAY STE 200, PIQUA, OH 45356-4109
(937) 916-2700
Mailing address
152 BLACKSTONE DR, CENTERVILLE, OH 45459-4304

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006571RX
OH

Other

Enumeration date
12/05/2020
Last updated
04/05/2021
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