Doctor Name: | LILLIAN S NAGI |
NPI Number: | 1063851442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA 14551-NP |
Business Practice Address: | 2751 Bay Park Dr Suite 100 Oregon, OH - 436164921 |
Business Phone Number: | 4196907622 |
Business Fax Number: | 4196907621 |
Mailing Address: | 5855 Monroe St, Attn: Kristin Knueven SYLVANIA |
State: | OH |
Postal Code: | 435602269 |
Phone Number: | 4198247469 |
Fax Number: | 4198247359 |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | COA 14551-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |