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NPI Code Detail

MEDICARE: LORI FORTIER CNM, WHNP

MEDICARE: LORI FORTIER CNM, WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner252426OH

General Provider Information

NPI Number : 1275522302
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI FORTIER CNM, WHNP
Provider Business Mailing Address
First Line : 1836 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2235
Country : US
Telephone Number : 216-687-3649
Fax Number : 216-687-9319
Provider Business Practice Location Address
First Line : 1836 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2235
Country : US
Telephone Number : 216-687-3649
Fax Number : 216-687-9319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 05/15/2013

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