Individual
ENRIQUE COTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15644 MADISON AVE, SUITE 218, LAKEWOOD, OH 44107-5622
(216) 227-9839
(216) 227-9867
Mailing address
20525 CENTER RIDGE RD, SUITE 220, ROCKY RIVER, OH 44116-3437
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
35-061827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896900
—
OH
Enumeration date
10/05/2007
Last updated
10/12/2009
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