Provider Demographics
NPI:1003272501
Name:HITCHCOCK, LORA STAHL (DVM)
Entity Type:Individual
Prefix:DR
First Name:LORA
Middle Name:STAHL
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1053 S CLEVELAND MASSILLON RD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1659
Mailing Address - Country:US
Mailing Address - Phone:330-666-2976
Mailing Address - Fax:330-666-0519
Practice Address - Street 1:1053 S CLEVELAND MASSILLON RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1659
Practice Address - Country:US
Practice Address - Phone:330-666-2976
Practice Address - Fax:330-666-0519
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7011174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian