Individual
LORI TAZEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-4400
(216) 283-5359
Mailing address
16013 EVENING STAR AVE, MAPLE HEIGHTS, OH 44137-4517
(216) 272-4053
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.222587
OH
Other
Enumeration date
06/03/2019
Last updated
11/28/2022
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