Provider Demographics
NPI:1598170219
Name:CRANOR, MEGAN L (DO)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:CRANOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:L
Other - Last Name:SOPKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7045 LIGHTHOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551
Mailing Address - Country:US
Mailing Address - Phone:419-873-6836
Mailing Address - Fax:419-873-6837
Practice Address - Street 1:7045 LIGHTHOUSE WAY
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551
Practice Address - Country:US
Practice Address - Phone:419-873-6836
Practice Address - Fax:419-873-6837
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-012697207Q00000X
OH34012697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine