Provider Demographics
NPI:1912098153
Name:LOPICCOLO, CARMELA (CNP)
Entity Type:Individual
Prefix:
First Name:CARMELA
Middle Name:
Last Name:LOPICCOLO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CARMELA
Other - Middle Name:ORAVEC
Other - Last Name:LEMCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:M-31
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2568
Mailing Address - Fax:216-444-7625
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:CLEVELAND CLINIC M-31 NEONATOLOGY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2567
Practice Address - Fax:216-444-7625
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-00797363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2355222Medicaid
OH2355222Medicaid
OHP72196Medicare UPIN