| Dlca Llc | |
|
71 Vista Ridge Dr South Lebanon OH 45065-8755 | |
| (513) 292-6564 | |
| Not Available |
| Full Name | Dlca Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 Vista Ridge Dr, South Lebanon, Ohio |
| Authorized Official Name and Position | Kenrick Sylvester Richardson (OWNER-PRESIDENT) |
| Authorized Official Contact | 5132926564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlca Llc 71 Vista Ridge Dr South Lebanon OH 45065-8755 Ph: (513) 292-6564 | Dlca Llc 71 Vista Ridge Dr South Lebanon OH 45065-8755 Ph: (513) 292-6564 |
| NPI Number | 1962500124 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962500124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |