Individual
LOIS B JETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4439 STATE ROUTE 159, STE G10, CHILLICOTHE, OH 45601-8207
(740) 779-4300
(740) 779-4390
Mailing address
4439 STATE ROUTE 159 STE G10, CHILLICOTHE, OH 45601-7708
(740) 779-4300
(740) 779-4391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.068325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189933
—
OH
Enumeration date
07/23/2006
Last updated
11/19/2020
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