Healthcare Provider Details

I. General information

NPI: 1275677627
Provider Name (Legal Business Name): LORI ANN INGLEZAKIS RNC,MSN, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

3772 COMPTON CT
STOW OH
44224-5453
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-4847
  • Fax: 330-375-7416
Mailing address:
  • Phone: 330-678-7735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberNP-05745
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: