Individual
KAITLIN DIANNA LANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
13870 INDIAN CREEK DR, MIDDLEBURG HEIGHTS, OH 44130-6815
(440) 342-4075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C 1200447
OH
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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