Individual
LINDA LOUISE CUCULIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 STATE ROUTE 5, CORTLAND, OH 44410-9393
(330) 372-8800
(330) 372-8999
Mailing address
2600 STATE ROUTE 5, CORTLAND, OH 44410-9393
(330) 372-8800
(330) 372-8999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35056519
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243191
ANTHEM BC/BS OHIO
OH
05
—
0703895
—
OH
01
—
102140
UNITED HEALTHCARE
OH
01
—
341341025035
CARESOURCE
OH
01
—
78932
HEALTH ASSURANCE
OH
01
—
J56519
SUMMACARE
OH
01
—
Q006179
HOMETOWN
OH
Enumeration date
07/03/2006
Last updated
04/20/2008
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