Individual
LUBOMYR VANTSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2724
Mailing address
5686 BROADVIEW RD APT 2304, PARMA, OH 44134-1645
(216) 856-3526
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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