Individual
LYDIA STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Mailing address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008195RX
OH
Other
Enumeration date
06/23/2023
Last updated
04/22/2024
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