Provider Demographics
NPI:1770718272
Name:LUZIER, KATHERINE MARIE (RN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIE
Last Name:LUZIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36254 REEVES RD
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-1624
Mailing Address - Country:US
Mailing Address - Phone:440-667-2790
Mailing Address - Fax:
Practice Address - Street 1:36254 REEVES RD
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-1624
Practice Address - Country:US
Practice Address - Phone:440-667-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN326893163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics