MEDICARE: LAUREN N HARVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1164057485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN N HARVILLE

Provider Business Mailing Address
First Line	:	7232 JUSTIN WAY
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4881
Country	:	US
Telephone Number	:	440-578-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 PROSPECT AVE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2609
Country	:	US
Telephone Number	:	440-578-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2020
Last Update Date	:	04/11/2025

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Directions to “ LAUREN N HARVILLE ” Practice Location

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