Individual provider · Type 1 NPI

Lexus R. Fedorko

Nurse Practitioner · Beachwood, OH

NPI number 1841160892 Active

Practice location

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309

Mailing address

1106 Big Sky Blvd Apt 103
Kent, OH 44240-8223

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPR.CNP.0040630 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1841160892

Lexus R. Fedorko's National Provider Identifier is 1841160892, issued on Nov 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beachwood, OH. The record was last updated on Nov 6, 2025.