Provider Demographics
NPI:1053941518
Name:SONNENLITTER, LUCIANA (CNP)
Entity type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:SONNENLITTER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33703 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1009
Mailing Address - Country:US
Mailing Address - Phone:330-519-7846
Mailing Address - Fax:
Practice Address - Street 1:33703 LAKE RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1009
Practice Address - Country:US
Practice Address - Phone:330-519-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH025734207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine