Individual
LORIANN F NICELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR, FRANKLIN, OH 45005-2584
(513) 312-3656
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007937N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317072
ANTHEM/BCBS
OH
01
—
000000354129
BCBS
—
05
—
2363848
—
OH
01
—
P00197839
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
05/22/2008
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