Latisha M Bazin
Case Manager/Care Coordinator in Lebanon, OH. Individual provider (NPI-1).
NPI number1861276958
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1861276958
- Entity type
- Individual (NPI-1)
- Name
- Latisha M Bazin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Practice location
204 Cook RdLebanon, OH 45036-9600
Phone 513-751-7747
Mailing address
2600 Victory PkwyCincinnati, OH 45206-1395
Phone 513-751-7747
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