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NPI Code Detail

MEDICARE: LORI SUE DILORENZO PMHCNS BC

MEDICARE: LORI SUE DILORENZO PMHCNS BC
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistNS09574OH
2363LP0808XPsychiatric/Mental Health Nurse Practitioner09574OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346310687
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI SUE DILORENZO PMHCNS BC
Provider Business Mailing Address
First Line : 3593 MEDINA RD # 181
Second Line :
City : MEDINA
State : OH
Zip : 44256-8182
Country : US
Telephone Number : 330-536-3746
Fax Number :
Provider Business Practice Location Address
First Line : 3593 MEDINA RD # 181
Second Line :
City : MEDINA
State : OH
Zip : 44256-8182
Country : US
Telephone Number : 330-536-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 04/12/2022

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