Individual
MRS. SYDNIE KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 LANCASTER DR, MEDINA, OH 44256-2739
(678) 654-6103
Mailing address
1004 LANCASTER DR, MEDINA, OH 44256-2739
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71866886
—
OH
Enumeration date
05/13/2022
Last updated
05/13/2022
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