Organization
SOZO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PROVENZANO NURSE PRACTITIONER (CEO/PROVIDER)
(614) 214-2534
Entity
Organization
Contact information
Practice address
625 GARFIELD AVE, LANCASTER, OH 43130-2432
(614) 214-2534
Mailing address
625 GARFIELD AVE, LANCASTER, OH 43130-2432
(614) 214-2534
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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