Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NP0017X | Pediatric Chiropractor | 1701 | OH |
Y | 111NS0005X | Chiropractic Sports Physician | 038-006848 | IL |
NPI | 1194836866 |
---|---|
Provider Name | Dr. Cherie Anne Lechner-Lunato |
First Address | Painesville, OH 44077-9330 |
Second Address | Novelty, OH 44072-9418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 11/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001606823 | BLUE CROSS BLUE SHIELD # (01) | IL |