Individual
LORI J DAVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 EMBASSY PKWY STE 260, FAIRLAWN, OH 44333-8398
(330) 664-8120
(330) 664-8121
Mailing address
3800 EMBASSY PKWY STE 260, FAIRLAWN, OH 44333-8398
(330) 664-8120
(330) 664-8121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-05-7622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733415
—
OH
Enumeration date
08/17/2005
Last updated
12/03/2020
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