Provider Demographics
NPI:1861060329
Name:LOPRICH, HEATHER AMY MICHELLE
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:AMY MICHELLE
Last Name:LOPRICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEATHER AMY
Other - Middle Name:MICHELLE
Other - Last Name:LOPRICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1406 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1618
Mailing Address - Country:US
Mailing Address - Phone:440-665-6101
Mailing Address - Fax:
Practice Address - Street 1:1406 SUNSET RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-1618
Practice Address - Country:US
Practice Address - Phone:440-665-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide