Individual
CHRISTINA LUSNEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 W 19TH ST, CLEVELAND, OH 44109-2933
(216) 482-1830
Mailing address
3903 W 19TH ST, CLEVELAND, OH 44109-2933
(216) 482-1830
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RU792696
OH
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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