Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lori A Provenzano

Individual provider Case Manager/Care Coordinator · NPI 1104159862

Lori A Provenzano is a Case Manager/Care Coordinator in Willoughby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
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Practice location Address checks out

5105 Som Center Rd
Willoughby, OH 44094-4203
Phone: (440) 975-4646
Fax: (440) 975-4607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence RN264203 (OH)

Record details

NPI number1104159862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2009
Last updated in NPPESJanuary 29, 2014
Mailing address6247 Gatewood Dr, Mentor, OH 44060-2147

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