Provenzano, Lori A

Provenzano, Lori A is an sole proprietor health care provider with primary practice located at 5105 Som Center Rd , Willoughby OH 44094-4203. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Provenzano, Lori A can be contacted via phone (440) 975-4646.

Contact Information

Primary practice address
5105 Som Center Rd Willoughby OH 44094-4203
Phone: (440) 975-4646
Fax: (440) 975-4607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X RN264203 Ohio

Profile Details

NPI number 1104159862
LBN Legal business name Provenzano, Lori A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Jan 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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