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Individual

LORETTA B SZCZOTKA-FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3601
(216) 844-7117
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
43897T
OH
207W00000X
Ophthalmology Physician
4389
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000127598
ANTHEM
OH
01
000000512670
ANTHEM
OH
01
0660993
AETNA
OH
01
0887474
BCMH
OH
05
0887474
OH
01
364068
WELLCARE
OH
01
738108
BUCKEYE
OH
01
P000369575
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
01/13/2021
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