Provider Demographics
NPI:1003005596
Name:WARREN-LORAINE INC
Entity Type:Organization
Organization Name:WARREN-LORAINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:STEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-363-1975
Mailing Address - Street 1:241 PADDOCK CT
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1317
Mailing Address - Country:US
Mailing Address - Phone:740-363-1975
Mailing Address - Fax:740-363-4662
Practice Address - Street 1:241 PADDOCK CT
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1317
Practice Address - Country:US
Practice Address - Phone:740-363-1975
Practice Address - Fax:740-363-4662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH79152261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI11504Medicare UPIN