Individual
MRS. CAROL LYNN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4216 W 227TH ST, FAIRVIEW PARK, OH 44126-1833
(216) 659-1011
(440) 801-1062
Mailing address
4216 W 227TH ST, FAIRVIEW PARK, OH 44126-1833
(216) 659-1011
(440) 801-1062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN101501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2482737
—
OH
Enumeration date
03/12/2007
Last updated
07/09/2007
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