Individual
LEBANON M SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
2368 MINERVA PARK PL, COLUMBUS, OH 43229-4770
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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