Individual
LORI A HERPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3903 LAKE AVE, ASHTABULA, OH 44004-5833
(440) 992-4477
(440) 998-5452
Mailing address
3903 LAKE AVE, ASHTABULA, OH 44004-5833
(440) 992-4477
(440) 998-5452
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903740
—
OH
Enumeration date
12/15/2005
Last updated
03/21/2016
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