Individual
LAURA D LIPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26900 CEDAR RD, SUITE 22N, BEACHWOOD, OH 44122-1191
(216) 839-3900
(216) 839-3931
Mailing address
26900 CEDAR RD, SUITE 22N, BEACHWOOD, OH 44122-1191
(216) 839-3900
(216) 839-3931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075243D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290211
—
OH
Enumeration date
04/14/2006
Last updated
04/22/2015
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