Provider Demographics
NPI:1013209345
Name:LAVELA, LORPU P
Entity Type:Individual
Prefix:MISS
First Name:LORPU
Middle Name:P
Last Name:LAVELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORPU
Other - Middle Name:N/A
Other - Last Name:PAYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 W LONG ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2815
Mailing Address - Country:US
Mailing Address - Phone:614-225-0990
Mailing Address - Fax:614-225-0991
Practice Address - Street 1:16 W LONG ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-225-0980
Practice Address - Fax:614-225-0991
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator