Individual
DR. JAY RICHARD LUGIBIHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
29627 ST. RT. 30, HANOVERTON, OH 44423
(330) 223-1547
(330) 223-1911
Mailing address
29627 ST. RT. 30, P.O. BOX 195, HANOVERTON, OH 44423
(330) 223-1547
(330) 223-1911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003675L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609023
—
OH
Enumeration date
07/02/2006
Last updated
07/08/2007
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