Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lizdany Cuello Dominguez, SA-C

Individual provider Surgical Assistant · NPI 1013547611

Lizdany Cuello Dominguez, SA-C is a Surgical Assistant in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

12212 Larchmere Blvd
Cleveland, OH 44120-1102
Phone: (216) 507-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-454 (WI)

Record details

NPI number1013547611
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C
Sole proprietorYes
NPI enumeratedJanuary 22, 2020
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020

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