Provider Demographics
NPI:1235172453
Name:FIELDS, LORRAINE BELLE (CNS)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:BELLE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13252 WILLIAMSBURG AVE NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8267
Mailing Address - Country:US
Mailing Address - Phone:330-699-0648
Mailing Address - Fax:
Practice Address - Street 1:525 E. MARKET ST.
Practice Address - Street 2:SUMMA HEALTH SYSTEM
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44309-2090
Practice Address - Country:US
Practice Address - Phone:330-375-6103
Practice Address - Fax:330-375-7412
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS05795364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE05795OtherRX NUMBER
OH2301851Medicaid
OHMF0845670OtherDEA REGISTRATION
OH2301851Medicaid