Healthcare Provider Details
I. General information
NPI: 1235164351
Provider Name (Legal Business Name): LENORE FRANCE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/11/2006
Last Update Date: 03/28/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PERKINS SQ
AKRON OH
44308-1062
US
IV. Provider business mailing address
PO BOX 367
MOGADORE OH
44260-0367
US
V. Phone/Fax
- Phone: 330-543-1000
- Fax:
- Phone: 330-628-1325
- Fax: 330-628-5572
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | NA03264 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 43522 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: