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Individual

LAUREL B. SHELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, CLEVELAND, OH 44131-2139
(216) 986-1314
(216) 986-1191

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000048
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232326
UNISON
OH
01
000000515976
ANTHEM
OH
01
0583328
BCMH
OH
05
2265034
OH
05
2703864
OH
01
415033
WELLCARE MEDICAID
OH
01
9533063
AETNA
OH
01
P00412592
RAILROAD MEDICARE
OH
Enumeration date
04/27/2006
Last updated
05/22/2008
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