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Dr. Lawrence E Mieczkowski, MD
Specialist in Kettering, Ohio
NPI 1558354951

Lawrence E Mieczkowski is a Specialist based in Kettering, OH. Lawrence E Mieczkowski practices in Kettering, OH and has the professional credentials of MD. The NPI Number for Lawrence E Mieczkowski is 1558354951 and holds a License No. OH35-05-2076 (Ohio).

The current practice location address for Lawrence E Mieczkowski is 3080 Ackerman Blvd Ste 220, Kettering, OH and can be reached out via phone at 937-294-3228 and via fax at 937-294-3250.

Location: 3080 Ackerman Blvd Ste 220, Kettering, OH, 45429-3658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558354951
Provider Name
Lawrence E Mieczkowski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3080 Ackerman Blvd Ste 220, Kettering, OH, 45429-3658
Phone Number
937-294-3228
Fax Number
937-294-3250
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0603574 05 OH
000000020506 01 OH ANTHEM
E00311469434 01 OH AETNA
04-20157 01 OH UNITEDHEALTHCARE
0634819 01 OH AETNA LIFE INSURANCE CO
institution
Provider Business Practice Location Address Details
Address
3080 Ackerman Blvd Ste 220
City
Kettering
State
Ohio
Zip
45429-3658
Phone Number
937-294-3228
Fax Number
937-294-3250
person
Provider Business Mailing Address Details
Address
3080 Ackerman Blvd Ste 220
City
Kettering
State
Ohio
Zip
45429-3658
Phone Number
937-294-3228
Fax Number
937-294-3250
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OH35-05-2076 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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