Individual
MRS. MEGHAN LOU ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP ADULT GERO
Contact information
Practice address
7350 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(216) 732-9480
(440) 942-8431
Mailing address
7350 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(216) 732-9480
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014016073
OH
363LG0600X
Gerontology Nurse Practitioner
2014016073
OH
Other
Enumeration date
08/26/2014
Last updated
04/23/2020
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