Individual
LARRY WAYNE SCHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 W 37TH ST, LORAIN, OH 44053-2719
(440) 522-2633
Mailing address
1223 W 37TH ST, LORAIN, OH 44053-2719
(440) 522-2633
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
4703100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703100
DODD
OH
05
—
4703100
—
OH
Enumeration date
03/27/2020
Last updated
03/27/2020
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