LORI A PROVENZANO

WILLOUGHBY, OH
NPI1104159862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  RN264203)
Enumeration Date2009-09-14
Last Update Date2014-01-29
Business Address
-- LORI A PROVENZANO
5105 SOM CENTER RD
WILLOUGHBY, OH 44094-4203
Phone number: 440-975-4646
Mailing Address
-- LORI A PROVENZANO
6247 GATEWOOD DR
MENTOR, OH 44060-2147
Phone number:
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