Lora Lynn Fielding, AID

Individual provider Active NPI Community Health Worker · South Charleston, OH

NPI 1194987172 · NPPES record last updated Jan 10, 2010

Key facts

NPI
1194987172
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
101 E Columbus Rd Apt 214
South Charleston, OH 45368-9335
Phone
(937) 462-7420
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

101 E Columbus Rd Apt 214
South Charleston, OH 45368-9335

Mailing address

5680 Callahan Rd
South Vienna, OH 45369-9715
Phone (937) 408-8141

Other providers in South Charleston, OH

All providers in South Charleston, OH · Community Health Worker in Ohio

Sources for this page

Verify at the official NPI Registry.