Individual
MRS. LORI KAY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2131 PARK AVE W STE 200, ONTARIO, OH 44906-1226
(419) 525-6730
Mailing address
600 W. THIRD STREET, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-7939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP-08630
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP08630
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2837498
—
OH
Enumeration date
11/01/2006
Last updated
05/02/2018
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