Individual
ALEXANDRA LYNN LUCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7800
(440) 204-7480
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-1913
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025372
—
OH
Enumeration date
02/14/2015
Last updated
01/29/2020
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