Lucia Koon

Primary specialty

ContractorTaxonomy code 171W00000X

License

72546356 Issued in OH

Practice address

191 Rowland Ave
Mansfield, OH 44903-1444

Phone

(567) 303-9587

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1164751210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ROWLAND AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031444",
            "telephone_number": "567-303-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROWLAND AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031444",
            "telephone_number": "567-303-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "LUCIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "72546356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2907724",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlotta Kohls
• Tracy Ann Kokiko, OTR/L
• Steven D. Kolacz, LISW
• Brittany Nicole Komlofske
• Carole L Kommer, R.N.
• Laurie Ann Korbas, MSW, LISW
• Abdul Salam Koroma
• Megan Kostelnik
• Keith Andrew Kovacs, R.PH.
• Gregory R Krall, RPH

• Contractor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.