Individual
DR. JENNIFER LYNNE PREZIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
14200 MADISON AVE, LAKEWOOD, OH 44107
(216) 658-0111
(216) 658-0110
Mailing address
14200 MADISON AVE, LAKEWOOD, OH 44107-4510
(216) 577-1003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102850
—
OH
Enumeration date
06/24/2008
Last updated
06/14/2018
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