Individual
LORI ANN BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 N BROAD ST APT 1, FAIRBORN, OH 45324-5567
(937) 537-8886
(937) 537-8886
Mailing address
1428 N BROAD ST APT 1, FAIRBORN, OH 45324-5567
(937) 537-8886
(937) 537-8886
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APR-001048362
OH
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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