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Individual

JACQUELINE LICHNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
7445 STONYBROOK DR, MIDDLEBURG HEIGHTS, OH 44130-5558
(440) 476-5691

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026031
OH

Other

Enumeration date
02/29/2020
Last updated
02/29/2020
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