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Individual

DR. LEE MICHAEL HLAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1045 BEECHER XING N STE A, GAHANNA, OH 43230-4573
(614) 304-0019
(614) 304-0023
Mailing address
1045 BEECHER XING N, SUITE A, COLUMBUS, OH 43230-4573
(614) 478-2111
(614) 304-0022

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003610
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003610
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2790476
OH
Enumeration date
09/27/2010
Last updated
05/11/2017
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