Individual
MR. LONNIE ISAAC SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 E 155TH ST, CLEVELAND, OH 44128
(216) 414-5947
Mailing address
3675 WARRENSVILLE 201111 PO BOX, CLEVELAND, OH 44120
(216) 414-5947
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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