Individual
MS. VERONICA LUCRETIA MAGDA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE # C25, CLEVELAND, OH 44195-0001
(216) 636-1118
(216) 444-9820
Mailing address
13833 CLIFTON BLVD, LAKEWOOD, OH 44107-1448
(216) 262-3717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003783
OH
363AM0700X
Medical Physician Assistant
Primary
003783
OH
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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