Provider Demographics
NPI:1568297240
Name:SZUCH, CHRISTINA (LPN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SZUCH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-2504
Mailing Address - Country:US
Mailing Address - Phone:440-222-8418
Mailing Address - Fax:
Practice Address - Street 1:25000 COUNTRY CLUB BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5332
Practice Address - Country:US
Practice Address - Phone:440-617-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.123687.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse