Individual
LAUREN WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 COLUMBIA RD, WESTLAKE, OH 44145-1493
(866) 320-4587
Mailing address
5555 TRANSPORTATION BLVD, GARFIELD HEIGHTS, OH 44125-5371
(877) 440-8326
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.147572
OH
Other
Enumeration date
04/02/2020
Last updated
05/16/2024
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