Healthcare Provider Details
I. General information
NPI: 1780945816
Provider Name (Legal Business Name): ERIKA REESE ZOLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/05/2012
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 E MAIN ST
LEXINGTON OH
44904-1353
US
IV. Provider business mailing address
PO BOX 7527
DUBLIN OH
43017-0727
US
V. Phone/Fax
- Phone: 419-520-3500
- Fax: 419-520-3595
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35.144874 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0116024445 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: