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Individual

DR. LAURENCE JOHN LEMBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13535 DETROIT AVE, SUITE 7, LAKEWOOD, OH 44107-4625
(216) 226-2444
(216) 226-3112
Mailing address
13535 DETROIT AVE, SUITE 7, LAKEWOOD, OH 44107-4625
(216) 226-2444
(216) 226-3112

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36001762
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000143072
ANTHEM BCBS
OH
01
0004297638
AETNA
OH
05
0310425
OH
01
10196
KAISER PERMANENTE
OH
01
2700750
UNITED HEALTHCARE
OH
01
346747145026
CARESOURCE
OH
01
55396
QUALCHOICE
OH
01
791480328
RAILROAD MEDICARE
OH
01
L01762
SUMMACARE
OH
01
P35653478
PRINCIPAL MULTI PLAN
OH
Enumeration date
04/05/2006
Last updated
01/05/2010
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