Individual
DR. MELANIE LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024-9047
(440) 286-6155
(440) 286-6156
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8027
(216) 201-8173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201060
ANTHEM
OH
01
—
080175491
RAILROAD MEDICARE
—
05
—
2270279
—
OH
Enumeration date
01/26/2006
Last updated
12/03/2020
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