Provider Demographics
NPI:1538426838
Name:CHESNET, LORI ANN (RN)
Entity type:Individual
Prefix:MISS
First Name:LORI
Middle Name:ANN
Last Name:CHESNET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21362 STATE ROUTE 664
Mailing Address - Street 2:
Mailing Address - City:SOUTH BLOOMINGVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43152-9744
Mailing Address - Country:US
Mailing Address - Phone:740-332-4362
Mailing Address - Fax:
Practice Address - Street 1:21362 STATE ROUTE 664
Practice Address - Street 2:
Practice Address - City:SOUTH BLOOMINGVILLE
Practice Address - State:OH
Practice Address - Zip Code:43152-9744
Practice Address - Country:US
Practice Address - Phone:740-332-4362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.361496163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health