Individual
LORRAINE M FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 517-1758
(419) 517-1399
Mailing address
P.O. BOX 8970, 4334 SECOR ROAD, TOLEDO, OH 43623-0970
(419) 475-4449
(419) 517-1399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35049099
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
35.049099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354761
ANTHEM
OH
01
—
00415
PARAMOUNT
OH
05
—
0516758
—
OH
01
—
12-02007
UHC
OH
01
—
370020641
RRMC
OH
01
—
4244898
AETNA
OH
Enumeration date
07/21/2005
Last updated
02/21/2014
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