Individual
ETHAN LORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 865-6167
Mailing address
10506A MONTGOMERY RD, MONTGOMERY, OH 45242-4402
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
70.000881
OH
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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