Healthcare Provider Details

I. General information

NPI: 1821792185
Provider Name (Legal Business Name): LORNA VOGT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 6TH ST
PORTSMOUTH OH
45662-4030
US

IV. Provider business mailing address

729 6TH ST
PORTSMOUTH OH
45662-4030
US

V. Phone/Fax

Practice location:
  • Phone: 749-876-8290
  • Fax: 740-529-1205
Mailing address:
  • Phone: 749-876-8290
  • Fax: 740-529-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: