Provider Demographics
NPI:1992881692
Name:ALLEGRETTO, LYNN LOUISE (APRN,CS/NP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:LOUISE
Last Name:ALLEGRETTO
Suffix:
Gender:F
Credentials:APRN,CS/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4039 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-2093
Mailing Address - Country:US
Mailing Address - Phone:440-967-6396
Mailing Address - Fax:
Practice Address - Street 1:254 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1620
Practice Address - Country:US
Practice Address - Phone:440-988-6104
Practice Address - Fax:440-988-6267
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH153255363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2354465Medicaid
OHNP82101Medicare PIN