Healthcare Provider Details

I. General information

NPI: 1609794809
Provider Name (Legal Business Name): LORRAINE ELIZABETH SCHLOSSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S LUDLOW ST
DAYTON OH
45402-1813
US

IV. Provider business mailing address

613 RESIDENZ PKWY APT D
KETTERING OH
45429-6298
US

V. Phone/Fax

Practice location:
  • Phone: 937-542-3000
  • Fax:
Mailing address:
  • Phone: 717-676-8557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.013656
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: