Provider Demographics
NPI:1669938312
Name:LONABARGER, CAITLEN ANNE
Entity type:Individual
Prefix:
First Name:CAITLEN
Middle Name:ANNE
Last Name:LONABARGER
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 1:12301 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9525
Mailing Address - Country:US
Mailing Address - Phone:419-554-8199
Mailing Address - Fax:
Practice Address - Street 1:12301 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9525
Practice Address - Country:US
Practice Address - Phone:419-554-8199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program