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NPI Code Detail

MEDICARE: DANIELLE LEA MAYER PA-C

MEDICARE:   DANIELLE LEA MAYER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.007146RXOH

General Provider Information

NPI Number : 1346912698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE LEA MAYER PA-C
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 WASHINGTON BLVD STE 103
Second Line :
City : KENTON
State : OH
Zip : 43326-4001
Country : US
Telephone Number : 419-673-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2021
Last Update Date : 05/30/2023

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Directions to “ DANIELLE LEA MAYER PA-C” Practice Location

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