Individual
LORETTA JANE SCISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 654-4942
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-090075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000529137
ANTHEM
OH
01
—
00002803653
UHC
OH
05
—
2764923
—
OH
Enumeration date
06/28/2007
Last updated
01/25/2022
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