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Individual

LORA B LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-079797
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35-079797
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-079797
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35-079797
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-079797
OH
207LP3000X
Pediatric Anesthesiology Physician
35-079797
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221065
UNISON
OH
01
000000516045
ANTHEM
OH
01
0583328
BCMH
OH
05
1025551060001
PA
01
221065
UNISON
OH
05
2289429
OH
01
363762
WELLCARE MEDICAID
OH
01
5041735
AETNA
OH
01
741281
BUCKEYE MEDICAID
OH
01
P00444997
RAILROAD MEDICARE
OH
Enumeration date
07/24/2006
Last updated
03/17/2011
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