MEDICARE: MS. LORANELLE OCTAVIA LAFFITTE R.N.

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	163W00000X	Registered Nurse	353207	OH

General Provider Information

NPI Number	:	1962734558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORANELLE OCTAVIA LAFFITTE R.N.

Provider Business Mailing Address
First Line	:	16222 HARVARD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2056
Country	:	US
Telephone Number	:	216-299-8962
Fax Number	:

Provider Business Practice Location Address
First Line	:	16222 HARVARD AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2056
Country	:	US
Telephone Number	:	216-299-8962
Fax Number	:

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

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	02/05/2010

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Directions to “ MS. LORANELLE OCTAVIA LAFFITTE R.N.” Practice Location

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