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Individual

LAUREN SURNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5437
Mailing address
24298 CARLA LN, NORTH OLMSTED, OH 44070-1018

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
023015
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023015
OBON LICENSE NUMBER
OH
Enumeration date
07/26/2018
Last updated
10/26/2021
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