Gottwald, Lorie D

Gottwald, Lorie D is an individual health care provider with primary practice located at 3125 Transverse Dr , Toledo OH 43614-8008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gottwald, Lorie D can be contacted via phone (419) 383-3780.

Contact Information

Primary practice address
3125 Transverse Dr Toledo OH 43614-8008
Fax: (419) 383-2956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35070505 Ohio

Profile Details

NPI number 1720072275
LBN Legal business name Gottwald, Lorie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 28th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072275 NPPES
Ohio MEDICAID 0314850

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