Individual
LORI KREITZBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
408 DEVON PL, SUITE B, KENT, OH 44240-6479
(330) 673-6235
(330) 678-8811
Mailing address
408 DEVON PL, SUITE B, KENT, OH 44240-6479
(330) 673-6235
(330) 678-8811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-290707-1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.17631-NP
OH
Other
Enumeration date
07/24/2015
Last updated
01/14/2021
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