Individual
DR. MARY M. LORENTZ CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 SEVERANCE CIR, CLEVELAND HEIGHTS, OH 44118-1533
(216) 621-5600
(440) 975-4690
Mailing address
12201 EUCLID AVE, #1200, CLEVELAND, OH 44106-4310
(216) 707-3427
(216) 707-3529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-032333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152383
—
OH
Enumeration date
08/18/2006
Last updated
06/02/2016
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