Provider Demographics
NPI:1609180488
Name:GUAGENTI-ENGLER, LORI CATHERINE (OD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:CATHERINE
Last Name:GUAGENTI-ENGLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6433 PULLMAN DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7377
Mailing Address - Country:US
Mailing Address - Phone:740-548-0100
Mailing Address - Fax:740-548-2122
Practice Address - Street 1:6433 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7377
Practice Address - Country:US
Practice Address - Phone:740-548-0100
Practice Address - Fax:740-548-2122
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5946152W00000X
OHT2861152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist