Peysha, Lori Elizabeth

Peysha, Lori Elizabeth is an individual health care provider with primary practice located at 1611 S Green Rd Ste 160 , South Euclid OH 44121-6100. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Peysha, Lori Elizabeth can be contacted via phone (216) 382-9935.

Contact Information

Primary practice address
1611 S Green Rd Ste 160 South Euclid OH 44121-6100
Phone: (216) 382-9935
Fax: (216) 297-0377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN234958 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 05012-NP Ohio

Profile Details

NPI number 1629182258
LBN Legal business name Peysha, Lori Elizabeth
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Feb 18th, 2011 - about 15 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 1629182258 NPPES
Ohio MEDICAID 2833198

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