Individual
LORI SUE DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS BC
Contact information
Practice address
3593 MEDINA RD # 181, MEDINA, OH 44256-8182
(330) 536-3746
Mailing address
3593 MEDINA RD # 181, MEDINA, OH 44256-8182
(330) 536-3746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
09574
OH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
NS09574
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2807510
—
OH
Enumeration date
11/08/2006
Last updated
04/12/2022
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