Individual
MS. LORI JEAN GRENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSN, RN, CNP
Contact information
Practice address
107 ROYAL BIRKDALE DR STE A, COLUMBIANA, OH 44408
(330) 482-9350
(339) 472-2336
Mailing address
9471 MARKET ST, SUITE B, NORTH LIMA, OH 44452-8702
(330) 729-2388
(330) 629-6468
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
03474NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374121
—
OH
Enumeration date
08/23/2005
Last updated
08/10/2018
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