Carroll Family Practice INC
Family Medicine in Lancaster, OH. Organization (NPI-2).
NPI number1265617005
StatusActive
Last updated in NPPESAug 27, 2012
Details
- NPI
- 1265617005
- Entity type
- Organization (NPI-2)
- Legal business name
- Carroll Family Practice INC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2007
- Last updated
- Aug 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 207Q00000X | OH | Yes |
Practice location
2318 E Main StSuite 100
Lancaster, OH 43130-9351
Phone 740-653-7121 · Fax 740-653-7122
Mailing address
2318 E Main StSuite 100
Lancaster, OH 43130-9351
Phone 740-653-7121 · Fax 740-653-7122
Authorized official
Leroy Brian Varney
Doctor/Owner
7406537121
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