Individual
LEA MARIE LIM MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 CRAIG ST, BUTLER, OH 44822-8934
(347) 827-5210
Mailing address
140 CRAIG ST, BUTLER, OH 44822-8934
(347) 827-5210
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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