Individual
LUCAS JAMES HEILIGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1156 BRANDYWINE DR, MEDINA, OH 44256-4102
(330) 553-4212
Mailing address
1156 BRANDYWINE DR, MEDINA, OH 44256-4102
(330) 553-4212
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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