Organization
LEBANON HEMATOLOGYONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL A SKINNER M.D. (OWNER)
(513) 228-1552
Entity
Organization
Contact information
Practice address
670 N BROADWAY ST, LEBANON, OH 45036-1724
(513) 228-1552
Mailing address
670 N BROADWAY ST, LEBANON, OH 45036-1724
(513) 228-1552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35048340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000669011
ANTHEM
OH
05
—
0636217
—
OH
01
—
9374271
MEDICARE, PTAN
OH
Enumeration date
03/12/2008
Last updated
05/23/2008
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