Healthcare Provider Details

I. General information

NPI: 1356267363
Provider Name (Legal Business Name): LAVISH ROPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 E THORNTON ST
AKRON OH
44311-1645
US

IV. Provider business mailing address

342 E THORNTON ST
AKRON OH
44311-1645
US

V. Phone/Fax

Practice location:
  • Phone: 216-538-5194
  • Fax:
Mailing address:
  • Phone: 216-538-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberUZ978514
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: