Individual
JACI JOY LORENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 FULTON AVE, CINCINNATI, OH 45206-2504
(513) 713-1484
Mailing address
105 RIDGEWAY AVE, SOUTHGATE, KY 41071-3129
(859) 979-6401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
APS.006619
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
02/19/2025
Last updated
07/15/2025
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