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Individual

LANCE D DWORKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 383-5288
(419) 383-2823
Mailing address
4510 DORR ST # MS 840, TOLEDO, OH 43615-4040
(567) 420-1600
(567) 420-1637

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.129491
OH
207RN0300X
Nephrology Physician
MD08362
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0181612
OH
Enumeration date
06/01/2006
Last updated
06/21/2021
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