Individual
LYNNE A EVERSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-062031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221177
UNISON
OH
01
—
000000316889
ANTHEM
OH
01
—
000000525922
ANTHEM
OH
01
—
0652232
AETNA
OH
01
—
0933404
BCMH
OH
05
—
0933404
—
OH
05
—
1018895090001
—
PA
01
—
363513
WELLCARE
OH
01
—
732585
BUCKEYE
OH
Enumeration date
07/21/2006
Last updated
07/05/2011
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