Individual
LEXUS R FEDORKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 PARK EAST DR STE 207, BEACHWOOD, OH 44122-4309
(740) 275-7356
Mailing address
1106 BIG SKY BLVD APT 103, KENT, OH 44240-8223
(740) 275-7356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APR.CNP.0040630
OH
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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