Provider Demographics
NPI:1821157397
Name:RAKAY, LORI KAY (RN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:KAY
Last Name:RAKAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 US HIGHWAY 20 W
Mailing Address - Street 2:
Mailing Address - City:LINDSEY
Mailing Address - State:OH
Mailing Address - Zip Code:43442-9502
Mailing Address - Country:US
Mailing Address - Phone:419-665-2778
Mailing Address - Fax:
Practice Address - Street 1:3143 US HIGHWAY 20 W
Practice Address - Street 2:
Practice Address - City:LINDSEY
Practice Address - State:OH
Practice Address - Zip Code:43442-9502
Practice Address - Country:US
Practice Address - Phone:419-665-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN278998163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2677036Medicaid