Provider Demographics
NPI:1205633773
Name:WOODRING, LORI LEA
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LEA
Last Name:WOODRING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 26TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-5125
Mailing Address - Country:US
Mailing Address - Phone:330-844-7115
Mailing Address - Fax:
Practice Address - Street 1:412 26TH ST NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-5125
Practice Address - Country:US
Practice Address - Phone:330-844-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider