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Individual

DR. LAURENCE I. KLEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3461
(937) 641-5493
Mailing address
ONE CHILDREN'S PLAZA, DAYTON, OH 45404-1815
(937) 641-3461
(937) 641-5493

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35-080822
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2303500
OH
01
31-1411364
CHILDREN'S CARE GROUP TAX
OH
Enumeration date
06/22/2006
Last updated
12/15/2011
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