NPI 1013240332

David M Iliano, PAC

Practitioner Physician Assistant Lorain, OH

Practice location

Address: 3700 Kolbe Rd, Lorain, OH 44053-1611
Phone: (440) 960-4624
Fax: (440) 960-4469
Mailing address: 15251 Colebright Rd, Strongsville, OH 44136-5308

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50.002969 (OH)

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Registry record

NPI: 1013240332
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2009
Record last updated: 29 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.