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Individual

DR. LAURIE A STUART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
255 FRONT ST, BEREA, OH 44017-1943
(440) 243-4000
(440) 891-3446
Mailing address
12622 CEDAR RD, CLEVELAND HEIGHTS, OH 44106-3220
(216) 932-3215
(216) 932-9054

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0300196
OH
Enumeration date
09/21/2006
Last updated
07/08/2007
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