LORI PROVENZANO

Case Manager/Care Coordinator

Active Individual
NPI: 1104159862

Practice Address

5105 SOM CENTER RD
Willoughby, OH 44094

Phone: (440) 975-4646

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes RN264203 (OH)

Frequently Asked Questions

NPI 1104159862 is the National Provider Identifier for LORI PROVENZANO, a Case Manager/Care Coordinator provider located in Willoughby, OH. This NPI was enumerated on September 14, 2009.
LORI PROVENZANO practices at 5105 SOM CENTER RD, Willoughby, OH 44094.

Quick Facts

NPI
1104159862
Type
Individual
Enumerated
Sep 14, 2009
Last Updated
Jan 29, 2014

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