Penrod, Lorelei

Penrod, Lorelei is an individual health care provider with primary practice located at 2841 25Th St Ne , Canton OH 44705-3669. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Penrod, Lorelei can be contacted via phone (330) 458-0780.

Contact Information

Primary practice address
2841 25Th St Ne Canton OH 44705-3669
Phone: (330) 458-0780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN090083 Ohio

Profile Details

NPI number 1851517338
LBN Legal business name Penrod, Lorelei
Credentials LPN, CHPLN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851517338 NPPES
Ohio MEDICAID 106981839999

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