Individual
LORI ELIZABETH PEYSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1611 S GREEN RD STE 160, SOUTH EUCLID, OH 44121-6100
(216) 382-9935
(216) 297-0377
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(216) 382-9935
(216) 297-0377
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN234958
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
05012-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2833198
—
OH
Enumeration date
08/19/2006
Last updated
02/18/2011
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