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Individual

LALEH A BEDOCS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2500 W STRUB RD STE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710
Mailing address
2500 W STRUB RD STE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34008833
OH
208000000X
Pediatrics Physician
34008833
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2689710
OH
Enumeration date
10/20/2006
Last updated
02/25/2015
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