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DR. ANASTACIA LAGUNZAD KRIZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
850 COLUMBIA RD, WESTLAKE, OH 44145-1493
(440) 250-5737
Mailing address
9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02002549A
IN
207R00000X
Internal Medicine Physician
Primary
34.007348
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000353052
ANTHEM PRIMARY LOCATION
IN
01
000000374719
ANTHEM SECONDARY LOCATION
IN
01
15D1007700
CLIA PRIMARY LOCATION
IN
01
15D1043329
CLIA SECONDARY LOCATION
IN
05
200332310A
IN
05
64058498
KY
01
P00213395
RAILROAD MEDICARE
IN
Enumeration date
09/23/2005
Last updated
03/07/2023
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