Individual
DR. ANDREW PATRICK LUCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CLEVELAND CLINIC FDTN, 9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
1646 SETTLERS RESERVE WAY, WESTLAKE, OH 44145-2041
(330) 322-4043
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.098660
OH
207L00000X
Anesthesiology Physician
TRN # 11440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11440
TRN- TRAINING LICENSE
FL
01
—
35.098660
STATE LICENSE
OH
Enumeration date
06/28/2007
Last updated
02/23/2012
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