Lance W Bolin PA-C

NPI 1053369603 - Physician Assistant - 363A00000X

NPI Details
NPI 1053369603
Gender Male
Enumeration Date 05/05/2006
Last Updated 02/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3333 BURNET AVE
ML 2017
CINCINNATI OH, 45229-3026, US
Phone (513) 636-4454
Fax (513) 636-3928
Business Location
3333 BURNET AVE
ML 2017
CINCINNATI OH, 45229-3026, US
Phone (513) 636-4454
Fax (513) 636-3928
Toxanomy
Taxonomy Code 363A00000X
License State Ohio
License Number 50002078
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According to our database, Lance W Bolin PA-C NPI is 1053369603, taxonomy code is 363A00000X and license number is 50002078, license state is located at Ohio. Lance W Bolin PA-C physically located at 3333 Burnet Ave, Cincinnati OH, 45229-3026. NPI Number Lance W Bolin PA-C has the Individual type.

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1053369603 NPI number is provided on an as is basis without warranty of any kind. 1053369603 is maintained by the National Plan & Provider Enumeration System. The contents of Lance W Bolin PA-C are for informational purposes only.