Provider Demographics
NPI:1427430529
Name:ANDREW LUBANDI
Entity type:Organization
Organization Name:ANDREW LUBANDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBANDI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-544-8336
Mailing Address - Street 1:8725 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6911
Mailing Address - Country:US
Mailing Address - Phone:216-544-8336
Mailing Address - Fax:
Practice Address - Street 1:8725 TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6911
Practice Address - Country:US
Practice Address - Phone:216-544-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN264245251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health