Individual
LORA LYNN FIELDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AID
Contact information
Practice address
101 E COLUMBUS RD APT 214, SOUTH CHARLESTON, OH 45368-9335
(937) 462-7420
Mailing address
5680 CALLAHAN RD, SOUTH VIENNA, OH 45369-9715
(937) 408-8141
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
01/10/2010
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