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NPI Code Detail

MEDICARE: LM GUIRNALDA, MD LLC

MEDICARE: LM GUIRNALDA, MD LLC
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
1261QH0100XHealth Service Clinic/Center35.035875OH

General Provider Information

NPI Number : 1568867265
Entity Type Code : Organization
Provider Name (Legal Business Name) : LM GUIRNALDA, MD LLC
Provider Business Mailing Address
First Line : 3460 S DIXIE DR
Second Line :
City : MORAINE
State : OH
Zip : 45439-2315
Country : US
Telephone Number : 937-374-1392
Fax Number : 937-374-1393
Provider Business Practice Location Address
First Line : 36 N DETROIT ST
Second Line : SUITE 104
City : XENIA
State : OH
Zip : 45385-2909
Country : US
Telephone Number : 937-374-1392
Fax Number : 937-374-1393
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MR. LEONARDO M GUIRNALDA
Credential : M.D.
Telephone Number : 937-374-1392
Provider Enumeration Date : 10/24/2014
Last Update Date : 01/13/2015

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Directions to “LM GUIRNALDA, MD LLC ” Practice Location

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