Individual
ELLEN L LUEBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 383-6614
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-056590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866166
—
OH
05
—
1025738390001
—
PA
01
—
P01013348
MEDICARE RAILROAD
OH
Enumeration date
12/27/2010
Last updated
04/24/2012
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