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Individual

DR. JOHN LAWRENCE HOUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-8524
(513) 475-8492
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-028367
OH
207RR0500X
Rheumatology Physician
Primary
35-028367
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0225349
OH
05
100003700
IN
05
64735772
KY
01
660003519
RAIL ROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
08/09/2017
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