Individual
LESLEY SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(804) 305-5208
Mailing address
3559 GRIDLEY RD UPPR, SHAKER HEIGHTS, OH 44122-5079
(804) 305-5208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.252502
OH
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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