Healthcare Provider Details

I. General information

NPI: 1487228250
Provider Name (Legal Business Name): MADELEINE ARUNA LOCHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17840 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3401
US

IV. Provider business mailing address

17840 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3401
US

V. Phone/Fax

Practice location:
  • Phone: 440-531-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.026288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: