Individual
MISS LUCIA KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 ROWLAND AVE, MANSFIELD, OH 44903-1444
(567) 303-9587
Mailing address
191 ROWLAND AVE, MANSFIELD, OH 44903-1444
(567) 303-9587
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
72546356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907724
—
OH
05
—
2958876
—
OH
Enumeration date
12/21/2009
Last updated
12/21/2009
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