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Organization

LODI COMMUNITY HOSPITAL

Active
Other names
Lodi Community Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA LYNN DENNISON (CONTROLLER)
(330) 948-5502
Entity
Organization

Contact information

Practice address
221 ELYRIA ST, LODI, OH 44254-1000
(330) 948-5502
(330) 948-3645
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5502
(330) 948-3645

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2132758
OH
05
2214305
OH
Enumeration date
08/05/2008
Last updated
08/05/2008
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