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Individual

MRS. JODI L. LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCCA

Contact information

Practice address
157 W CEDAR ST, STE 106, AKRON, OH 44307-2564
(330) 376-1221
(330) 376-3953
Mailing address
157 W CEDAR ST, STE 106, AKRON, OH 44307-2551
(330) 376-1221
(330) 376-3953

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00759
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000137222
ANTHEM
OH
05
0883441
OH
01
341713667027
CARESOURCE
OH
01
45-00027
UNITED HEALTHCARE
OH
01
61248
QUALCHOICE
OH
Enumeration date
09/20/2005
Last updated
07/08/2007
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