Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 57.017385 | OH |
Y | 111NI0900X | Internist | 57.017385 | OH |
NPI | 1003123084 |
---|---|
Provider Name | Dr. Uchenna Loretta Ozor |
First Address | Lakewood, OH 44107-3443 |
Second Address | Cleveland, OH 44115-3111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2010 |
Last Update Date | 11/09/2010 |