Provider Demographics
NPI:1891024253
Name:SCRUBY, LORI BETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:BETH
Last Name:SCRUBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:BETH
Other - Last Name:ESTEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 SPRING LAKE CT
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3924
Mailing Address - Country:US
Mailing Address - Phone:740-816-7041
Mailing Address - Fax:740-362-4043
Practice Address - Street 1:20 SPRING LAKE CT
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3924
Practice Address - Country:US
Practice Address - Phone:740-816-7041
Practice Address - Fax:740-362-4043
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH354429163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse