Lori Dee Mallernee

NPI 1649887159 · on the registry since 2020 · sole proprietor

Practice

Address: 1757 Indian Wood Cir
Maumee, OH 43537
Phone: (833) 647-0392
Organisation at this address: Midwest Detox Center Llc
Midwest Detox Center Llc
Midwest Detox Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 116

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio