Individual
LORENZO LALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18099 LORAIN AVE, STE 312, CLEVELAND, OH 44111
(216) 941-0066
(216) 941-3667
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35055703L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
05
—
0715588
—
OH
01
—
102746
KAISER
—
01
—
10794639
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00039952
RR MEDICARE INDIVIDUAL
—
Enumeration date
03/07/2006
Last updated
08/18/2010
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