Dlca LLC
NPI #1962500124 in South Lebanon, Ohio
Provider Information
- NPI Number
- 1962500124
- Entity Type
- Organization
- Organization Name
- Dlca LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 71 VISTA RIDGE DR
- City
- South Lebanon
- State
- Ohio
- ZIP Code
- 45065-8755
- Phone
- (513) 292-6564
Authorized Official
- Name
- DR. KENRICK SYLVESTER RICHARDSON, M.D.
- Title
- OWNER-PRESIDENT
- Phone
- (513) 292-6564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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