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Individual

DR. LAWRENCE MARTIN PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5264 LEE RD, MAPLE HEIGHTS, OH 44137-1232
(216) 294-4440
(216) 249-6032
Mailing address
5264 LEE RD, MAPLE HEIGHTS, OH 44137-1232
(216) 294-4440
(216) 249-6032

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-04-9239-P
OH
207R00000X
Internal Medicine Physician
Primary
35.049239
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0631329
OH
Enumeration date
06/30/2006
Last updated
08/11/2022
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