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General NPI Number Information
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NPI Number | 1083110969
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Entity Type | Individual
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Provider Name | DANIEL LORANG SPINOSA MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DRIVE
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City | EDGEWOOD
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State | KY
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Zip | 41017-3403
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Country | US
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Telephone | 859-301-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 CLIFTON AVE STE 100
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City | CINCINNATI
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State | OH
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Zip | 45220-3035
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Country | US
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Telephone | 513-862-1888
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Fax | 513-862-3616
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | DR.0068061
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 35.153748
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 61035
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License Number State | KY
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