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NPI Code Detail

MEDICARE: DR. LORA STAHL HITCHCOCK DVM

MEDICARE: DR. LORA STAHL HITCHCOCK DVM
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
1174M00000XVeterinarian7011OH

General Provider Information

NPI Number : 1003272501
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORA STAHL HITCHCOCK DVM
Provider Business Mailing Address
First Line : 1053 S CLEVELAND MASSILLON RD
Second Line :
City : COPLEY
State : OH
Zip : 44321-1659
Country : US
Telephone Number : 330-666-2976
Fax Number : 330-666-0519
Provider Business Practice Location Address
First Line : 1053 S CLEVELAND MASSILLON RD
Second Line :
City : COPLEY
State : OH
Zip : 44321-1659
Country : US
Telephone Number : 330-666-2976
Fax Number : 330-666-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 01/13/2016

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