NPI 1023409802

Alexandra Lynn Lucak, PAC

Practitioner Physician Assistant Lorain, OH

Practice location

Address: 5800 Cooper Foster Park Rd W, Lorain, OH 44053-4131
Phone: (440) 204-7800
Fax: (440) 204-7480
Mailing address: 9500 Euclid Ave, Cleveland, OH 44195-1913

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50.004267 (OH)

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Registry record

NPI: 1023409802
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2015
Record last updated: 29 Jan 2020

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.