Individual
DEBORAH LYNNE MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 CLINE AVENUE, MANSFIELD, OH 44907
(419) 756-5739
(419) 756-4968
Mailing address
2244 PARK CIR, LEWIS CENTER, OH 43035-6052
(740) 549-2596
(740) 549-0047
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35054857M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856720
—
OH
01
—
3600681818
CLIA
OH
Enumeration date
09/15/2006
Last updated
05/14/2014
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