Individual
MRS. LORI ANN SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6262 STATE ROUTE 322, WILLIAMSFIELD, OH 44093-9749
(440) 536-1628
Mailing address
6262 STATE ROUTE 322, WILLIAMSFIELD, OH 44093-9749
(440) 536-1628
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401594471213
OH
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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