Provider Demographics
NPI:1669622585
Name:COX, LORI A (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 BANK ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:OH
Mailing Address - Zip Code:44254-1025
Mailing Address - Country:US
Mailing Address - Phone:330-636-1741
Mailing Address - Fax:
Practice Address - Street 1:737 BANK ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1025
Practice Address - Country:US
Practice Address - Phone:330-636-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-28
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 343338163W00000X
OHAPRN.CNP.0028989363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2859045Medicaid
OH2859045Medicaid