MEDICARE: LORETO E DACIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	35080718	OH
2	207R00000X	Internal Medicine Physician	35.080718	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134243272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETO E DACIO M.D.

Provider Business Mailing Address
First Line	:	8622 WINTON RD
Second Line	:	SUITE B
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4817
Country	:	US
Telephone Number	:	513-522-4600
Fax Number	:	513-522-4658

Provider Business Practice Location Address
First Line	:	8622 WINTON RD
Second Line	:	SUITE B
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4817
Country	:	US
Telephone Number	:	513-522-4600
Fax Number	:	513-522-4658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/06/2021

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