Healthcare Provider Details

I. General information

NPI: 1164536199
Provider Name (Legal Business Name): MISS LENORE NATALIA BRAFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26694 CHAPEL HILL DR
NORTH OLMSTED OH
44070-1812
US

IV. Provider business mailing address

167 MORGAN ST
OBERLIN OH
44074-1513
US

V. Phone/Fax

Practice location:
  • Phone: 440-716-0501
  • Fax:
Mailing address:
  • Phone: 440-774-2215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: