Individual
LULA BELLE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40368 STATE ROUTE 303, LAGRANGE, OH 44050-9703
(440) 355-9324
Mailing address
41250 BUTTERNUT RIDGE RD, ELYRIA, OH 44035-7431
(440) 458-4183
(440) 458-4183
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4700783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4700783
CONTRACTOR NUMBER
OH
Enumeration date
03/07/2007
Last updated
07/08/2007
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