Provider Demographics
NPI:1821774175
Name:BARATIE, LUZ
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:BARATIE
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 1:62850 RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-9434
Mailing Address - Country:US
Mailing Address - Phone:740-338-7379
Mailing Address - Fax:
Practice Address - Street 1:62850 RIGGS RD
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906-9434
Practice Address - Country:US
Practice Address - Phone:740-338-7379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker