Provider Demographics
NPI:1568583250
Name:GLANVILLE, LOIS IRENE (PHD, CNP)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:IRENE
Last Name:GLANVILLE
Suffix:
Gender:F
Credentials:PHD, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 CALVERT DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1020
Mailing Address - Country:US
Mailing Address - Phone:330-929-4963
Mailing Address - Fax:
Practice Address - Street 1:210-E MARY GLADWIN HALL
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-3703
Practice Address - Country:US
Practice Address - Phone:330-972-7733
Practice Address - Fax:330-972-5737
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA NP-0570 RN-11744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily