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NPI Code Detail

MEDICARE: ANGELO LUSANE

MEDICARE: ANGELO LUSANE
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184463309
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELO LUSANE
Provider Business Mailing Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number : 216-334-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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Directions to “ ANGELO LUSANE ” Practice Location

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