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Individual

DR. LAURA E BALDASSARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MHS

Contact information

Practice address
9500 EUCLID AVE # U-10, CLEVELAND, OH 44195-1218
(216) 444-8600
Mailing address
9500 EUCLID AVE # U-10, CLEVELAND, OH 44195-0001
(216) 444-8600

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57.029110
OH
2084N0400X
Neurology Physician
9713562-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0226129
OH
Enumeration date
06/20/2012
Last updated
07/21/2022
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