Individual
LORI ANN LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE # A40, CLEVELAND, OH 44195-1960
(216) 444-2200
Mailing address
3880 NORTHWOODS CT NE, APT. 4, WARREN, OH 44483-4593
(330) 565-8386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-6928
OH
363A00000X
Physician Assistant
Primary
50.004189
OH
363A00000X
Physician Assistant
MA055871
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118900
—
OH
Enumeration date
09/12/2008
Last updated
06/19/2023
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