Individual
ALEXIS MACKENZIE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 200, LIMA, OH 45804-1803
(419) 224-5915
(419) 224-5918
Mailing address
10810 RESERVOIR RD, ADA, OH 45810-9213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
12/05/2023
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