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Organization

ZANESVILLE UROLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREG W LANOUETTE MD (PRESIDENT)
(740) 453-0548
Entity
Organization

Contact information

Practice address
751 FOREST AVE, SUITE 402, ZANESVILLE, OH 43701-2868
(740) 453-0548
(740) 453-2505
Mailing address
751 FOREST AVE, SUITE 402, ZANESVILLE, OH 43701-2868
(740) 453-0548
(740) 453-2505

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2253841
OH
Enumeration date
08/06/2007
Last updated
11/09/2007
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