MEDICARE: VCFE OF LEBANON

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
1	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1649350448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VCFE OF LEBANON

Provider Business Mailing Address
First Line	:	87 E US HIGHWAY 22 AND 3
Second Line	:	SUITE 700 & 800
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-7841
Country	:	US
Telephone Number	:	513-677-8346
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 E US HIGHWAY 22 AND 3
Second Line	:	SUITE 700 & 800
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-7841
Country	:	US
Telephone Number	:	513-677-8346
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT WELDEN
Credential	:	MD
Telephone Number	:	513-677-8346

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

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1306260195 — MS. TARA BOLSINGER
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Practice Location Address:

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Directions to “VCFE OF LEBANON ” Practice Location

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