Individual
MS. LORI ANN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2585 HUBBARD RD, MADISON, OH 44057-2527
(440) 796-4230
Mailing address
2585 HUBBARD RD, MADISON, OH 44057-2527
(440) 796-4230
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
PN 109321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN 109321
NURSING LICENSE
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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