Individual
EMERALD LESURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(216) 278-0288
(440) 306-2667
Mailing address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(216) 278-0288
(440) 306-2667
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822465485
OUT PATIENT
OH
Enumeration date
04/15/2022
Last updated
04/15/2022
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