Individual
DR. KATHLEEN ANN MEEHAN-DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 KOLBE RD STE 120, LORAIN, OH 44053-1652
(440) 960-3954
(440) 960-3956
Mailing address
3600 KOLBE RD STE 120, LORAIN, OH 44053-1652
(440) 960-3954
(440) 960-3956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35094465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998369
—
OH
Enumeration date
12/13/2005
Last updated
07/14/2021
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