Individual
LORI L JOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 644-6115
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35078162J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315466
BCBS
—
05
—
2199866
—
OH
01
—
P00086284
RAIL ROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
10/18/2007
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