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

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