Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 35.123419 | OH |
Y | 208000000X | Pediatrician | 35.123419 | OH |
NPI | 1174752067 |
---|---|
Provider Name | Lori A Herbst |
First Address | Cincinnati, OH 45229 |
Second Address | Cincinnati, OH 45229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0104080 | (05) | OH |
201233460 | (05) | IN |
7100305360 | (05) | KY |