Individual
LAVENIA ANTIONETTE DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5096 DONOVAN DR, GARFIELD HEIGHTS, OH 44125-2052
(216) 773-0149
Mailing address
13111 SHAKER SQ STE 204, CLEVELAND, OH 44120-2345
(216) 583-6526
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1830406
OH
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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