Individual
CHRISTOPHER LYNN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36100 EUCLID AVE STE 450, WILLOUGHBY, OH 44094-4488
(440) 946-9555
(440) 956-2223
Mailing address
36000 EUCLID AVE # MSO, WILLOUGHBY, OH 44094-4625
(440) 953-6082
(440) 953-6101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.131791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H582530
MEDICARE
OH
Enumeration date
04/08/2013
Last updated
04/01/2021
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