Individual
MS. LESLIE Z VIDMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4510 RICHMOND RD, CLEVELAND, OH 44128-5757
(440) 665-0024
Mailing address
8524 CRANWOOD DR, CHESTERLAND, OH 44026-1416
(440) 665-0024
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
CNP.09893
OH
363LA2200X
Adult Health Nurse Practitioner
RN190839
OH
Other
Enumeration date
03/08/2007
Last updated
01/11/2021
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