Organization
LV ADVANCED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SESHADRI VENKATESH (MANAGER)
(937) 427-0517
Entity
Organization
Contact information
Practice address
2020 AMYS RIDGE EAST CT, BEAVERCREEK, OH 45434-7103
(937) 427-0517
Mailing address
2387 HEATHER GLEN CT, BEAVERCREEK, OH 45431-5625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-076413
OH
Other
Enumeration date
10/14/2013
Last updated
06/07/2022
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