Organization
LOST CREEK HOLDING, LLC
Active
Other names
All-STAR Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KAY TOMLINSON (CEO)
(419) 230-5446
Entity
Organization
Contact information
Practice address
2750 N THAYER RD, LIMA, OH 45801-8796
(419) 230-5446
Mailing address
2750 N THAYER RD, LIMA, OH 45801-8796
(419) 230-5446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
31-5060
OH
305R00000X
Preferred Provider Organization
Primary
31-5060
OH
Other
Enumeration date
05/22/2014
Last updated
07/10/2017
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