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Individual

LIZBETH M. DAMMERT GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4627 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 753-2820
(513) 753-2824
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.122934
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113457
OH
01
H512741
CGS MEDICARE
OH
Enumeration date
08/05/2011
Last updated
09/10/2020
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