Most Relevant Information
Provider Data
| NPI Number: | 1003672551 |
| Provider Name: | LOLA L STIDOMS |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2024 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
1608 FAIRGATE PL
COLUMBUS
OH
432063312
Practice Location Phone/Fax
| Phone: | 6146964521 |
| Fax: |
Provider Mailing Location
1608 FAIRGATE PL
COLUMBUS
OH
432063312
Provider Mailing Phone/Fax
| Phone: | 6144442926 |
| Fax: |