Individual
DR. NICHELLE DIANE COLEMAN-LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19999 ROCKSIDE RD, BEDFORD, OH 44146-2074
(216) 621-5600
(216) 479-5554
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
(216) 479-5541
(216) 479-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-087663
OH
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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