Individual
LAWRENCE A DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 102, BROOKLYN, OH 44144-3267
(216) 398-8196
(216) 398-8192
Mailing address
7575 NORTHCLIFF AVE, SUITE 102, BROOKLYN, OH 44144-3267
(216) 398-8196
(216) 398-8192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-2991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030812
ANTHEM BCBS
OH
05
—
0517088
—
OH
01
—
105347
KAISER
OH
01
—
110146704
RAILROAD MEDICARE
OH
01
—
341847368031
CARESOURCE
OH
01
—
393375
WELLCARE OF OH
OH
01
—
4009105
AETNA
OH
01
—
57106
TRICARE
OH
01
—
P42991
SUMMACARE HEALTH PLAN
OH
Enumeration date
08/17/2005
Last updated
05/30/2008
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