Individual
DR. LARISA LEONIDOVNA GAMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8254 MAYFIELD RD, CHESTERLAND, OH 44026-2593
(440) 729-9000
(440) 729-0519
Mailing address
8254 MAYFIELD RD, CHESTERLAND, OH 44026-2593
(440) 729-9000
(440) 729-0519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364167
ANTHEM
OH
05
—
2625270
—
OH
Enumeration date
08/16/2005
Last updated
06/21/2010
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