Female

Lori A. Zwickel PA-C

Medical Physician Assistant in Centerville, OH(View on Map)

Full Name

Lori Ann Zwickel PA-C

NPI Number

1821379025

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/31/2011

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Ohio
Ohio

License Number

50.003379
50003379

Contact
Information

Purpose

Mailing
Location

Address

6661 CLYO RD
6661 CLYO RD

City

Centerville
Centerville

State

OH
OH

Postal Code

45459-2767
45459-2767

Country

US
US

Telephone Number

(937) 425-4000
(937) 425-4000

Identifiers

Identifier

50003379
0075601

Identifier State

OH
OH

Identifier Issuer

OHIO LICENSE
Unknown

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

lzwickel465750@direct.ketteringhealth.org
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

6661 Clyo RdCenterville, OH454592767US
6661 Clyo RdCenterville, OH454592767US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/12/2020

Provider Address

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