Individual
LILLIAN ELAINE HAERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 SOUTHERN BLVD STE 2100, KETTERING, OH 45429-1221
(937) 298-4331
Mailing address
1320 CAMP HILL WAY APT 9, DAYTON, OH 45449-3141
(937) 572-7297
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
APP-000646319
OH
363A00000X
Physician Assistant
Primary
50.007891RX
OH
Other
Enumeration date
11/03/2022
Last updated
03/29/2023
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