Individual
LACY KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 490-6000
Mailing address
PO BOX 74647, CLEVELAND, OH 44194-4647
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-17605
OH
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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