Individual
LORI A CATANZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 212-4625
(859) 212-4638
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4625
(859) 212-4638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005329A
IN
207Q00000X
Family Medicine Physician
Primary
03267
KY
207QB0002X
Obesity Medicine (Family Medicine) Physician
03267
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111724
—
OH
05
—
7100136130
—
KY
01
—
P00873393
RAIL ROAD MEDICARE
KY
Enumeration date
06/13/2007
Last updated
08/05/2022
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