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Individual
JOHN LUIZA
Active
Individual
JOHN LUIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT206276
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410651
—
OH
Enumeration date
04/01/2014
Last updated
11/21/2020
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