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Organization

LIWANAG ASUNCION M.D., INC

Active
Parent organization
LIWANAG ASUNCION M.D., INC 1515 KANSAS AVE LORAIN OH
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIWANAG ASUNCION M.D., INC 1515 KANSAS AVE LORAIN OH
Authorized official
LIWANAG ASUNCION MD (PRESIDENT)
(440) 288-1216
Entity
Organization

Contact information

Practice address
860 E BROAD ST, ELYRIA, OH 44035-6542
(440) 288-1216
Mailing address
860 E BROAD ST, ELYRIA, OH 44035-6542

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2072911
OH
Enumeration date
08/10/2007
Last updated
12/07/2007
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