Healthcare Provider Details

I. General information

NPI: 1649600149
Provider Name (Legal Business Name): ELIZABETH JEAN LARRICK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ELIZABETH MCELROY

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70944 GLENVIEW RD
LORE CITY OH
43755-9636
US

IV. Provider business mailing address

70944 GLENVIEW RD
LORE CITY OH
43755-9636
US

V. Phone/Fax

Practice location:
  • Phone: 740-825-9052
  • Fax:
Mailing address:
  • Phone: 740-825-9052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041328
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number444330
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: