LORI A PROVENZANO
NPI 1104159862
Case Manager/Care Coordinator in Willoughby, OH

Q: What is Lori Provenzano's NPI number?

The NPI number for Lori Provenzano is 1104159862. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Q: What is Lori Provenzano's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Provenzano was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2009

5105 SOM CENTER RD, WILLOUGHBY, OH 44094(440) 975-4646(440) 975-4607 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lori A Provenzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI A PROVENZANO (NPI 1104159862) is an individual case manager/care coordinator provider in Willoughby, Ohio, licensed in Ohio (RN264203) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104159862

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLORI A PROVENZANO

Location Address5105 SOM CENTER RDWilloughby, OH 44094-4203

Mailing Address6247 Gatewood DrMentor, OH 44060-2147

Phone(440) 975-4646

Fax(440) 975-4607

Sole ProprietorYes

Enumeration DateSeptember 14, 2009

Last NPPES UpdateJanuary 29, 2014

✔ NPI 1104159862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OH · RN264203

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

5105 SOM CENTER RD, Willoughby, OH 44094

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY GRACE PURISIMA M.D.

Internal Medicine

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (216) 524-7377

DR. JAMES SCOTT LANE M.D.

Ophthalmology

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (216) 524-7377

JULIA LYNN THOMAS

Pharmacist

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5711

HEALTHSPAN PHYSICIANS, LLC

Durable Medical Equipment & Medical Supplies

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5774

KIMBERLY ANN SVEC FNP-C

Nurse Practitioner (Family)

5105 SOM CENTER RD, # 106
WILLOUGHBY, OH 44094

Lake County (440) 953-5740

TAM PHAM MCLEAN

Family Medicine

5105 SOM CENTER RD, #106
WILLOUGHBY, OH 44094

Lake County (440) 953-5740

MRS. LAURIE L DEMETER RPH

Pharmacist

5105 SOM CENTER RD, PHARMACY
WILLOUGHBY, OH 44094

Lake County (440) 667-1077

AMY D LOWER C.N.P.

Nurse Practitioner

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 255-5571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Provenzano's NPI number?

The NPI number for Lori Provenzano is 1104159862. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Lori Provenzano located?

Lori Provenzano practices at 5105 Som Center Rd, Willoughby, OH 44094. The listed phone number is (440) 975-4646.

What is Lori Provenzano's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Lori Provenzano was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.