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Individual

LORI A MAHAJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 445-1572
(216) 444-2974
Mailing address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 445-1572
(216) 444-2974

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35067009M
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
35067009M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2270162
OH
Enumeration date
04/12/2006
Last updated
10/29/2021
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