Individual
LORENA SEPSAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
19441 GOLF VISTA PLZ STE 320, LANSDOWNE, VA 20176-8272
(703) 858-9800
(703) 858-9801
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101260784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130797
—
OH
Enumeration date
05/06/2011
Last updated
03/23/2018
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