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Individual

DIANE LOUISE LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3163 HOOK WALTZ RD E, ELIDA, OH 45807-9555
(419) 996-9483
Mailing address
3593 MEDINA RD # 181, MEDINA, OH 44256-8182
(419) 996-9483

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG01200181
OH

Other

Enumeration date
07/14/2020
Last updated
07/14/2020
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