Individual
JUSTIN EDWARD LONCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-4846
Mailing address
7297 NOBB HILL DR, PARMA, OH 44130-5238
(440) 655-4675
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
025752
OH
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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