Individual
DR. LORI GREEN STOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6054 S STATE ROUTE 48, MAINEVILLE, OH 45039-8280
(513) 981-5760
(513) 981-5769
Mailing address
6054 S STATE ROUTE 48, MAINEVILLE, OH 45039-8280
(513) 981-5760
(513) 981-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH 35078232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558499467
INDIVIDUAL NPI NUMBER
OH
01
—
1740337765
GROUP NPI NUMBER
—
01
—
9312731
GROUP MEDICARE NUMBER
—
01
—
H086720
MEDICARE NUMBER
OH
Enumeration date
03/01/2007
Last updated
12/01/2020
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