Individual
MR. LAWRENCE W HUGENBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
234 GOODMAN ST., CINCINNATI, OH 45219-2364
(513) 584-4956
(513) 584-5571
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA 17967
OH
Other
Enumeration date
08/17/2015
Last updated
08/14/2017
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