Individual
JOHN R HAZLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8000
(740) 687-8939
Mailing address
PO BOX 713464, CINCINNATI, OH 45271-0001
(513) 281-4400
(513) 281-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051627H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0693450
—
OH
01
—
35051627H
OHIO LICENSE NUMBER
OH
Enumeration date
10/06/2005
Last updated
05/31/2011
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