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Individual

LOLITA M MCDAVID

Active
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Individual

LOLITA M MCDAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-047901
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000027177
ANTHEM
OH
01
000000221136
UNISON
OH
01
000000526087
ANTHEM
OH
05
0642424
OH
01
363824
WELLCARE
OH
01
642424
BCMH
OH
01
657791
AETNA
OH
01
738077
BUCKEYE
OH
Enumeration date
07/18/2006
Last updated
07/06/2011
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