Individual
LORI B DELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6935 WOODLANDS LN, SOLON, OH 44139-4664
(404) 498-4756
Mailing address
6935 WOODLANDS LN, SOLON, OH 44139-4664
(404) 498-4756
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180548
—
OH
Enumeration date
07/21/2016
Last updated
01/13/2020
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