Individual
LORI A OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5788 KUNGLE RD, NEW FRANKLIN, OH 44203-7839
(330) 606-6254
Mailing address
5788 KUNGLE RD, NEW FRANKLIN, OH 44203-7839
(330) 606-6254
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
30182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30182
—
OH
Enumeration date
02/24/2021
Last updated
02/24/2021
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