Perisa-Cicchillo, Lauren Elizabeth

Perisa-Cicchillo, Lauren Elizabeth is an sole proprietor health care provider with primary practice located at 1553 Niles Cortland Rd Se Ste 1 , Warren OH 44484-3073. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Perisa-Cicchillo, Lauren Elizabeth can be contacted via phone (330) 372-2324.

Contact Information

Primary practice address
1553 Niles Cortland Rd Se Ste 1 Warren OH 44484-3073
Fax: (330) 372-2309
Website:

Profile Details

NPI number 1760891428
LBN Legal business name Perisa-Cicchillo, Lauren Elizabeth
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Dec 8th, 2015 - about 9 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 1760891428 NPPES
Ohio MEDICAID 0109240

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