Individual
RINA N LAZEBNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-058731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028184
ANTHEM
OH
01
—
000000221250
UNISON
OH
01
—
000000526052
ANTHEM
OH
05
—
0784601
—
OH
05
—
1018945270001
—
PA
01
—
363749
WELLCARE
OH
01
—
370001933
RAILROAD MEDICARE
OH
01
—
657309
AETNA
OH
01
—
738071
BUCKEYE
OH
01
—
784601
BCMH
OH
Enumeration date
07/18/2006
Last updated
02/01/2012
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