Provider Demographics
NPI:1891188470
Name:VRANESEVIC, LJILJANA
Entity type:Individual
Prefix:
First Name:LJILJANA
Middle Name:
Last Name:VRANESEVIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13384 STARLITE DR
Mailing Address - Street 2:APT. 215
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-3231
Mailing Address - Country:US
Mailing Address - Phone:216-362-0857
Mailing Address - Fax:
Practice Address - Street 1:13384 STARLITE DR
Practice Address - Street 2:APT 215
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3231
Practice Address - Country:US
Practice Address - Phone:216-362-0857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide