Individual
DORA ISABEL GONZALES-TOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 654-4942
(740) 654-4939
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34012281
OH
207Q00000X
Family Medicine Physician
AP2282058A17
OH
Other
Enumeration date
05/31/2012
Last updated
01/25/2022
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