Individual
DR. GINA RENEE DORLAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-4318
(513) 584-3020
Mailing address
2830 VICTORY PKWY, SUITE 320, CINCINNATI, OH 45206-1785
(513) 245-3335
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
K8125
TX
2086S0127X
Trauma Surgery Physician
Primary
35-090682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821889
—
OH
Enumeration date
05/02/2006
Last updated
02/03/2010
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