Individual
PHYLLIS LISA IANNUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10828 RAVENNA RD, TWINSBURG, OH 44087-1058
(330) 405-0638
(330) 405-0639
Mailing address
10828 RAVENNA RD, TWINSBURG, OH 44087-1058
(330) 405-0638
(330) 405-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.042760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526523
—
OH
Enumeration date
10/03/2006
Last updated
08/02/2011
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