Provider Demographics
NPI:1013030154
Name:SYNOR, LILLIAN M (RN)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:M
Last Name:SYNOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21482
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-0482
Mailing Address - Country:US
Mailing Address - Phone:216-932-7970
Mailing Address - Fax:
Practice Address - Street 1:3769 E ANTISDALE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-2327
Practice Address - Country:US
Practice Address - Phone:216-932-7970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN201436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse