Most Relevant Information
Provider Data
  | NPI Number: | 1003592130 | 
| Provider Name: | TAMMY FISHER | 
| Entity Type: | Individual | 
| Taxonomy Code: | 261QA0600X | 
| Specialty: | Clinic/Center | 
| License Number: | 6401718 | 
Most Important Dates
  | Enumeration Date: | 06/23/2023 | 
| Last Updated: | 06/23/2023 | 
Provider Practice Location
  734 S EWING ST
      
      LANCASTER
      OH
      431309405
  Practice Location Phone/Fax
      | Phone: | 7406525191 | 
| Fax: | 
Provider Mailing Location
  734 S EWING ST
      
      LANCASTER
      OH
      431309405
  Provider Mailing Phone/Fax
      | Phone: | 7406525191 | 
| Fax: |