Provider Demographics
NPI:1295018828
Name:CULBERTSON, LORI ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:CULBERTSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:KRATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2864 MCCARTNEY RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-5021
Mailing Address - Country:US
Mailing Address - Phone:330-743-1614
Mailing Address - Fax:330-743-1909
Practice Address - Street 1:2864 MCCARTNEY RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-5021
Practice Address - Country:US
Practice Address - Phone:330-743-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331504183500000X
PARP445725183500000X
OHRPH.03331504-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist