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Individual

DR. LOREN D.M. PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
3333 BURNET AVE # MLC4006, CINCINNATI, OH 45229
(513) 636-4760
(513) 636-7297
Mailing address
3333 BURNET AVE # MLC4006, CINCINNATI, OH 45229-3026
(513) 636-4760
(513) 636-7297

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
2012-00346
NC
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
35.133868
OH
208000000X
Pediatrics Physician
036117459
IL

Other

Enumeration date
09/21/2007
Last updated
05/22/2018
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