Individual
LONNA LOUISE SAFKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9318 STATE ROUTE 14, 2ND FLOOR, STREETSBORO, OH 44241-5224
(330) 626-3111
(330) 626-5978
Mailing address
1403 CHANNONBROOK ST SW, CANTON, OH 44710-1274
(330) 524-6407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-097284
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-015212
OH
Other
Enumeration date
10/13/2008
Last updated
08/04/2011
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