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Individual

LAWRENCE L GELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2651 W MARKET ST, FAIRLAWN, OH 44333-4230
(330) 835-5584
(330) 835-5591
Mailing address
320 W EXCHANGE ST, AKRON, OH 44302-1709
(330) 535-4428
(330) 535-4451

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-057735
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0983066
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/24/2006
Last updated
02/04/2013
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