Individual
DR. LORIE D GOTTWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614-8008
(419) 383-3780
(419) 383-2956
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-3780
(419) 383-2956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35070505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314850
—
OH
Enumeration date
09/09/2005
Last updated
12/28/2017
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