Healthcare Provider Details

I. General information

NPI: 1356329635
Provider Name (Legal Business Name): RICHARD DAVID STROMINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: R. DAVID STROMINGER MD

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E MAIN ST
LANCASTER OH
43130-4056
US

IV. Provider business mailing address

1155 E MAIN ST
LANCASTER OH
43130-4056
US

V. Phone/Fax

Practice location:
  • Phone: 740-689-6756
  • Fax: 740-689-6759
Mailing address:
  • Phone: 740-689-6756
  • Fax: 740-689-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35044607
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: