Lola Stidoms

NPI #1861258329 in Columbus, Ohio

Provider Information

NPI Number: 1861258329
Entity Type: Organization
Organization Name: Lola Stidoms
Primary Specialty: Homemaker
Enumeration Date: Feb 22, 2024
Last Updated: Feb 22, 2024

Practice Location

Address: 1608 FAIRGATE PL
City: Columbus
State: Ohio
ZIP Code: 43206-3312
Phone: (614) 390-9846

Authorized Official

Name: LOLA L STIDOMS
Title: ADMINISTRATOR
Phone: (614) 390-9846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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