Provider Demographics
NPI:1477261808
Name:GINGERICH, LORENE
Entity Type:Individual
Prefix:
First Name:LORENE
Middle Name:
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15818 GEORGIA RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-8235
Mailing Address - Country:US
Mailing Address - Phone:440-321-9527
Mailing Address - Fax:
Practice Address - Street 1:15818 GEORGIA RD
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-8235
Practice Address - Country:US
Practice Address - Phone:440-321-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker