Individual
HERIMONE LESTRITA CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3033 KETTERING BLVD, SUITE213, DAYTON, OH 45439-1962
(937) 298-5333
(937) 298-5923
Mailing address
5 TYLER CT, SPRINGBORO, OH 45066-8301
(937) 298-5333
(937) 298-5923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-068248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146649
—
OH
Enumeration date
06/06/2006
Last updated
07/08/2007
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