Individual
LORI L LEIPHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8261 MARKET ST, BOARDMAN, OH 44512-6254
(330) 286-0050
Mailing address
8261 MARKET ST, BOARDMAN, OH 44512-6254
(330) 286-0050
(330) 759-3851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.04876
OH
363LF0000X
Family Nurse Practitioner
SP009089
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
04876
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP009089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057630
—
OH
01
—
024283
MEDICARE
—
05
—
102599450
—
PA
Enumeration date
11/25/2005
Last updated
01/02/2024
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