Individual
JULIE LAVINDER PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 829-9389
(330) 829-9372
Mailing address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 829-9389
(330) 829-9372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-07-7328
OH
207Q00000X
Family Medicine Physician
Primary
35-073228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173320
—
OH
Enumeration date
06/09/2005
Last updated
09/03/2020
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