Healthcare Provider Details

I. General information

NPI: 1992954358
Provider Name (Legal Business Name): LELA HOLLAND BELL N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GRAND AVE
DAYTON OH
45405-4720
US

IV. Provider business mailing address

PO BOX 758705
BALTIMORE MD
21275-8705
US

V. Phone/Fax

Practice location:
  • Phone: 937-226-3200
  • Fax: 904-805-1456
Mailing address:
  • Phone: 904-805-1300
  • Fax: 904-805-1456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP 10041
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: