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Individual

CARRIE LENAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
44 BLAINE AVE, BEDFORD, OH 44146-2709
(440) 735-3900
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-9304
(330) 656-5901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35086336
OH
207P00000X
Emergency Medicine Physician
Primary
M7369
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0079QR
BCBS
TX
05
191340201
TX
05
2578107
OH
01
8AB541
BCBS OF TEXAS
TX
01
P00472947
RAILROAD MEDICARE
TX
Enumeration date
12/22/2005
Last updated
06/18/2008
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