| Doctor Name: | MS. JILL LORETITSCH |
| NPI Number: | 1053312025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | NP05060 |
| Business Practice Address: | 25000 Country Club Blvd #255 North Olmsted, OH - 440705344 |
| Business Phone Number: | 4408930200 |
| Business Fax Number: | 4407937194 |
| Mailing Address: | 25000 Country Club Blvd, #255 NORTH OLMSTED |
| State: | OH |
| Postal Code: | 440705344 |
| Phone Number: | 4408930200 |
| Fax Number: | 4407937194 |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NP05060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |