NPI 1174935324

Lost Creek Holding, LLC

Organisation Preferred Provider Organization Lima, OH

Practice location

Address: 2750 N Thayer Rd, Lima, OH 45801-8796
Phone: (419) 230-5446

Authorised official

Name: Diane Kay Tomlinson
Title: Ceo
Phone: (419) 230-5446

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 31-5060 (OH)

Other Preferred Provider Organization providers in Ohio →

Dental Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 31-5060 (OH)

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Registry record

NPI: 1174935324
Entity type: Organization
NPI issued: 22 May 2014
Record last updated: 10 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.