Provider Demographics
NPI:1487820767
Name:LAHL, MEREDITH (PPCNP-BC, PCNS-BC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:LAHL
Suffix:
Gender:F
Credentials:PPCNP-BC, PCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # HSB-111
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-704-6719
Mailing Address - Fax:216-636-2190
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-704-6719
Practice Address - Fax:216-636-2190
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN305595163WP0200X
OHCOA.07873-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics