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Individual

DR. LANA JESIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215-4701
(614) 566-9489
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34.016672
OH
2086S0102X
Surgical Critical Care Physician
Primary
34.016672
OH

Other

Enumeration date
02/09/2017
Last updated
09/19/2023
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