Dworkin, Lance D
Dworkin, Lance D is an individual health care provider with primary practice located at 3333 Glendale Ave , Toledo OH 43614-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dworkin, Lance D can be contacted via phone (419) 383-5288.Contact Information
Primary practice address
3333 Glendale Ave
Toledo OH 43614-2426
Phone: (419) 383-5288
Fax: (419) 383-2823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD08362 | Rhode Island |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.129491 | Ohio |
Profile Details
| NPI number | 1053358770 |
|---|---|
| LBN Legal business name | Dworkin, Lance D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jun 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053358770 | NPPES |
| Ohio | MEDICAID | 0181612 |
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