Provider Demographics
NPI:1801596192
Name:RAK, LINDSAY ANN
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:RAK
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 1:6224 COLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3001
Mailing Address - Country:US
Mailing Address - Phone:216-541-3041
Mailing Address - Fax:
Practice Address - Street 1:5795 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2541
Practice Address - Country:US
Practice Address - Phone:440-844-3549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09218722183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician