Organization
JAY LUGIBIHL, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY RICHARD LUGIBIHL D.O. (PRESIDENT/PROVIDER)
(330) 223-1547
Entity
Organization
Contact information
Practice address
29627 STATE RT. 30, HANOVERTON, OH 44423
(330) 223-1547
(330) 223-1911
Mailing address
PO BOX 195, HANOVERTON, OH 44423-0195
(330) 223-1547
(330) 223-1911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34. 003675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764481
—
OH
Enumeration date
03/17/2008
Last updated
03/17/2008
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