Individual
LOUIS D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST, SUITE 208, ELYRIA, OH 44035-6400
(440) 329-7315
(440) 329-7316
Mailing address
125 E BROAD ST, SUITE 208, ELYRIA, OH 44035-6400
(440) 329-7315
(440) 329-7316
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35039947D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364645
—
OH
Enumeration date
04/10/2006
Last updated
06/18/2012
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