Organization
DR LORI R PHILIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI RENEE PHILIP MD (CEO)
(513) 793-2220
Entity
Organization
Contact information
Practice address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Mailing address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35 065114
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669401998
NPI # INDIVIDUAL
OH
Enumeration date
09/06/2007
Last updated
09/06/2007
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