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Individual

LUCY THERESE BRUBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
1498 LAUDERDALE AVE, LAKEWOOD, OH 44107-3630
(216) 904-5882

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0037066
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0037066
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN.CNP.0037066
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0037066
OH

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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