LORI A PROVENZANO
Medical Practice at Som Center Rd, Willoughby, OH

License number
Ohio RN264203
Category
Medical Practice
Type
Case Manager/Care Coordinator
Address
Address 2
5105 Som Center Rd, Willoughby, OH 44094
6247 Gatewood Dr, Concord Township, OH 44060
Phone
(440) 975-4646
(440) 975-4607 (Fax)
National Provider ID: 1104159862
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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