Individual
MR. BRANDON LIGHTNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
815 THORNHILL DR, CLEVELAND, OH 44108-2314
(216) 482-4459
Mailing address
815 THORNHILL DR, CLEVELAND, OH 44108-2314
(216) 482-4459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TG322149
OH
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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