Individual
LAWRENCE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27100 CHARDON RD STE 100, RICHMOND HTS, OH 44143-1116
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 74574, CLEVELAND, OH 44194-0002
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35039216M
OH
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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