Individual
ELIZABETH ANN RAINBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14601 DETROIT AVE FL 2, LAKEWOOD, OH 44107
(216) 237-5500
(216) 237-5670
Mailing address
4312 W 211TH ST, FAIRVIEW PARK, OH 44126-1509
(216) 956-8709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.139838
OH
207Q00000X
Family Medicine Physician
57.029942
OH
Other
Enumeration date
04/24/2017
Last updated
06/12/2020
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