Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lori A Fedorczyk, DO

Individual provider Family Medicine Physician · NPI 1659455699

Dr. Lori A Fedorczyk, DO is a Family Practice in Jackson, Ohio. Graduated from West Virginia School of Osteopathic Medicine in 2021, 5 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

280 Pattonsville Rd
Jackson, OH 45640-9452
Phone: (855) 446-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.018053 (OH)

Record details

NPI number1659455699
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address100 Jackson Pike, Gallipolis, OH 45631-1560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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