Luis Medina

NPI #1821842469 in Lorain, Ohio

Provider Information

NPI Number: 1821842469
Entity Type: Individual
Name: Luis Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 11, 2024
Last Updated: Apr 11, 2024

Practice Location

Address: 1603 W 12TH ST
City: Lorain
State: Ohio
ZIP Code: 44052-1268
Phone: (440) 320-1891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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