Individual
MR. ANTHONY OGBUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4207 IVANHOE DR, LORAIN, OH 44053-1562
(646) 373-3386
Mailing address
4207 IVANHOE DR, LORAIN, OH 44053-1562
(646) 373-3386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 152907-M-IV
OH
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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