Basic Information
Provider Information
NPI: 1811221294
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOXTHEIMER
FirstName: LORENE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 1415 TULANE AVENUE
Address2: DEPARTMENT OF PATHOLOGY
City: NEW ORLEANS
State: LA
PostalCode: 70112
CountryCode: US
TelephoneNumber: 5049885224
FaxNumber: 5049882420
Practice Location
Address1: 3000 ARLINGTON AVE
Address2: GRADUATE MEDICAL EDUCATION
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193833474
FaxNumber: 4193836183
Other Information
ProviderEnumerationDate: 10/01/2009
LastUpdateDate: 08/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X320327LAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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