Individual
LAURA A CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FL MSC9152, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-079366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219524
ANTHEM
OH
01
—
000000221159
UNISON
OH
01
—
000000525912
ANTHEM
OH
05
—
1011645480001
—
PA
01
—
2270582
BCMH
OH
05
—
2270582
—
OH
01
—
363401
WELLCARE
OH
01
—
738039
BUCKEYE
OH
01
—
7695267
AETNA
OH
Enumeration date
07/20/2006
Last updated
01/05/2010
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