Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35-08-4208-H | OH |
NPI | 1073517835 |
---|---|
Provider Name | Dr. Lori C Hemrock |
First Address | Philadelphia, PA 19178-6536 |
Second Address | Warren, OH 44484-6046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 15/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2483834 | (05) | OH |
I14399 | (02) | OH |