Provider Demographics
NPI:1750719290
Name:MAIER, LORI ANN (MS, LGC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MAIER
Suffix:
Gender:F
Credentials:MS, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:CONRAD JOBST TOWER, FLOOR E
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-291-7979
Mailing Address - Fax:419-479-2617
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:CONRAD JOBST TOWER, FLOOR E
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-291-7979
Practice Address - Fax:419-479-2617
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000111170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS