Most Relevant Information
Provider Data
| NPI Number: | 1003474248 |
| Provider Name: | LORI TAZEWELL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | RN.222587 |
Most Important Dates
| Enumeration Date: | 06/03/2019 |
| Last Updated: | 11/28/2022 |
Provider Practice Location
13422 KINSMAN RD
CLEVELAND
OH
441204410
Practice Location Phone/Fax
| Phone: | 2162834400 |
| Fax: | 2162835359 |
Provider Mailing Location
16013 EVENING STAR AVE
MAPLE HEIGHTS
OH
441374517
Provider Mailing Phone/Fax
| Phone: | 2162724053 |
| Fax: |