Individual
STACY L KOLBASH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8000
(740) 687-8365
Mailing address
PO BOX 603, LANCASTER, OH 43130-0603
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5346
OH
Other
Enumeration date
01/30/2006
Last updated
07/09/2007
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