Provider Demographics
NPI:1457592610
Name:HAY, LORA (RN, MSN, CPNP)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:HAY
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26250 EUCLID AVE STE 611
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3693
Mailing Address - Country:US
Mailing Address - Phone:216-261-2606
Mailing Address - Fax:216-261-9814
Practice Address - Street 1:26250 EUCLID AVE STE 611
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3693
Practice Address - Country:US
Practice Address - Phone:216-261-2606
Practice Address - Fax:216-261-9814
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN274895363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics