Individual
DEANA LYNN COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29125 CHAGRIN BLVD, PEPPER PIKE, OH 44122-3335
(216) 292-3999
(330) 764-9712
Mailing address
29125 CHAGRIN BLVD, PEPPER PIKE, OH 44122-3335
(330) 722-1069
(330) 764-9712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060791
—
OH
Enumeration date
09/23/2006
Last updated
02/27/2020
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