Michael S Medina

NPI #1073309563 in Lancaster, Ohio

Provider Information

NPI Number: 1073309563
Entity Type: Individual
Name: Michael S Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 19, 2025
Last Updated: Apr 19, 2025

Practice Location

Address: 2994 MUD HOUSE RD NE
City: Lancaster
State: Ohio
ZIP Code: 43130-8784
Phone: (719) 641-6043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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