Individual
ANNE LYREN
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
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-075781
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-075781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183504
ANTHEM
OH
01
—
000000221146
UNISON
OH
01
—
000000526056
ANTHEM
OH
01
—
2195342
BCMH
OH
05
—
2195342
—
OH
01
—
2356499
AETNA
OH
01
—
363788
WELLCARE
OH
01
—
745937
BUCKEYE
OH
Enumeration date
08/31/2006
Last updated
11/10/2011
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