IndividualActive
Lori Provenzano
NPI 1104159862 · Case Manager/Care Coordinator · Willoughby, OH
Lori Provenzano is a Case Manager/Care Coordinator provider in Willoughby, OH (NPI 1104159862).
Provider details
- NPI number
- 1104159862
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN264203 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5105 Som Center Rd
Willoughby, OH 44094-4203
Phone: (440) 975-4646
Fax: (440) 975-4607
Street-level locationGet directions
Mailing address
6247 Gatewood Dr
Mentor, OH 44060-2147
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2014-01-29
Frequently asked questions
- What is Lori Provenzano's NPI number?
- Lori Provenzano's National Provider Identifier (NPI) is 1104159862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Provenzano's specialty?
- Lori Provenzano is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Lori Provenzano located?
- Lori Provenzano's practice location on file with NPPES is 5105 Som Center Rd, Willoughby, OH 44094-4203.
- What is Lori Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Lori Provenzano is (440) 975-4646.
- Is Lori Provenzano's NPI active?
- Yes — Lori Provenzano's NPI (1104159862) is active in the NPPES registry as of the last update on 2014-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.