MEDICARE: DR. LORI B SCHAEN 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	207N00000X	Dermatology Physician	35075150	OH
2	207N00000X	Dermatology Physician	050434	GA

General Provider Information

NPI Number	:	1326045915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI B SCHAEN M.D.

Provider Business Mailing Address
First Line	:	111 NEW HAMPSHIRE AVE STE 2
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-2864
Country	:	US
Telephone Number	:	802-909-2053
Fax Number	:

Provider Business Practice Location Address
First Line	:	5817 HAPPY HOLLOW RD
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1848
Country	:	US
Telephone Number	:	513-327-9244
Fax Number	:	513-323-5201

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	06/16/2023

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