Organization
L L DEATON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS L DEATON MD (MEDICAL DIRECTOR)
(513) 585-3635
Entity
Organization
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-5219
(513) 585-3635
(513) 585-3189
Mailing address
PO BOX 635526, CINCINNATI, OH 45263-5526
(513) 891-1006
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4990
RR MEDICARE
OH
Enumeration date
10/23/2006
Last updated
11/30/2007
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