Antonelli, Susan Lacey
Antonelli, Susan Lacey is an individual health care provider with primary practice located at 17876 Saint Clair Ave , Cleveland OH 44110-2602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Antonelli, Susan Lacey can be contacted via phone (216) 383-2222.Contact Information
Primary practice address
17876 Saint Clair Ave
Cleveland OH 44110-2602
Phone: (216) 383-2222
Fax: (216) 298-0241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN.CNP.023456 | Ohio |
Profile Details
| NPI number | 1477033918 |
|---|---|
| LBN Legal business name | Antonelli, Susan Lacey |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2018 |
| Last updated | Jun 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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