Organization
PREMIERHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HEROLD C.O.T (OPHTHALMIC TECHNICIAN)
(937) 222-3937
Entity
Organization
Contact information
Practice address
105 SUGAR CAMP CIR, SUITE 200, OAKWOOD, OH 45409-1977
(937) 222-3937
(937) 223-5254
Mailing address
105 SUGAR CAMP CIR, SUITE 200, OAKWOOD, OH 45409-1977
(937) 222-3937
(939) 223-5254
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21675
OH
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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