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NPI Code Detail

MEDICARE: MRS. LUANN LYNN DEJULIUS P.T.

MEDICARE:  MRS. LUANN LYNN DEJULIUS  P.T.
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
12251X0800XOrthopedic Physical Therapist005097OH

General Provider Information

NPI Number : 1750576575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUANN LYNN DEJULIUS P.T.
Provider Business Mailing Address
First Line : 34600 CHARDON RD
Second Line : SUITE 9
City : WILLOUGHBY
State : OH
Zip : 44094-8480
Country : US
Telephone Number : 440-461-3127
Fax Number :
Provider Business Practice Location Address
First Line : 34600 CHARDON RD
Second Line : SUITE 9
City : WILLOUGHBY
State : OH
Zip : 44094-8480
Country : US
Telephone Number : 440-461-3127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2007
Last Update Date : 11/30/2007

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Directions to “ MRS. LUANN LYNN DEJULIUS P.T.” Practice Location

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