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Search › Ohio › Case Manager/Care Coordinator

Lori Provenzano

NPI 1104159862 · on the registry since 2009 · sole proprietor

Practice

Address
5105 Som Center Rd
Willoughby, OH 44094
Phone
(440) 975-4646
Fax
(440) 975-4607
Organisation at this address
Buckeye Foot Care
Jubilee Healthcare, Llc
Healthspan Physicians, Llc
Healthspan Integrated Care
Kaiser Foundation Health Plan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-29

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