Individual
LORI KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 ALEXANDER LN, BATAVIA, OH 45103-3303
(513) 368-0987
Mailing address
4001 ALEXANDER LN, BATAVIA, OH 45103-3303
(133) 680-9875
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0000274927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000274927
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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