Provider Demographics
NPI:1396284873
Name:ZAPPITELLI-SASON, LUCILLE E (CNP)
Entity type:Individual
Prefix:
First Name:LUCILLE
Middle Name:E
Last Name:ZAPPITELLI-SASON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LUCILLE
Other - Middle Name:E
Other - Last Name:ZAPPITELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:36000 EUCLID AVE
Mailing Address - Street 2:MSO
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4625
Mailing Address - Country:US
Mailing Address - Phone:440-953-6082
Mailing Address - Fax:440-953-6101
Practice Address - Street 1:9500 MENTOR AVE STE 100
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8702
Practice Address - Country:US
Practice Address - Phone:440-352-4880
Practice Address - Fax:440-352-3629
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020486363L00000X
OHRN.403405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0207523Medicaid
OHH483390Medicare PIN