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NPI Code Detail

MEDICARE: SAMANTHA MAE POKORNY LCGC

MEDICARE: SAMANTHA MAE POKORNY LCGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)246.011165IL
2170300000XGenetic Counselor (M.S.)70.000994OH

General Provider Information

NPI Number : 1043164825
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MAE POKORNY LCGC
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-983-0848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ SAMANTHA MAE POKORNY LCGC” Practice Location

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