Individual
LYNN M ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-6066
Mailing address
21556 LAKE RD, ROCKY RIVER, OH 44116-1154
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
34006624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231714
—
OH
01
—
942460636327
CARESOURCE
OH
01
—
P00194520
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
08/02/2006
Last updated
07/08/2007
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