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Individual

DR. DANA EILEEN LENHART TAVANIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
487 W MAIN ST, WEST JEFFERSON, OH 43162-1178
(614) 379-5148
Mailing address
487 W MAIN ST, WEST JEFFERSON, OH 43162-1178
(614) 379-5148

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
58002243
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3031196
OH
Enumeration date
07/23/2007
Last updated
07/09/2024
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