Individual
LORI ANN AMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 WARSAW ST, TOLEDO, OH 43608-1845
(419) 349-0761
Mailing address
3102 WARSAW ST, TOLEDO, OH 43608-1845
(419) 349-0761
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RM582150
OH
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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