Individual
JULIA A LIBECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6707 POWERS BLVD STE 203, PARMA, OH 44129-5464
(440) 845-1500
(440) 845-9227
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(440) 845-1500
(440) 845-9227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35082756
OH
208000000X
Pediatrics Physician
Primary
35082756L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689770513
—
OH
05
—
2500412
—
OH
Enumeration date
09/16/2006
Last updated
12/11/2020
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