Individual
LUCINDA TIMBERLAKE-KWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232331
UNSION
OH
01
—
000000515978
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2499649
—
OH
01
—
415043
WELLCARE MEDICAID
OH
01
—
7703962
AETNA
OH
Enumeration date
08/26/2005
Last updated
12/27/2021
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