Individual
SARA H LEE
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
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-084090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354780
ANTHEM
OH
01
—
000000526053
ANTHEM
OH
01
—
00000221234
UNISON
OH
05
—
1015723810002
—
PA
01
—
2528492
BCMH
OH
05
—
2528492
—
OH
01
—
363752
WELLCARE
OH
01
—
738072
BUCKEYE
OH
01
—
7478644
AETNA
OH
05
—
Q84090
—
SC
Enumeration date
07/24/2006
Last updated
07/06/2011
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