Clough, Mary M. Lorentz
Clough, Mary M. Lorentz is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clough, Mary M. Lorentz can be contacted via phone (216) 621-5600.Contact Information
Primary practice address
10 Severance Cir
Cleveland Heights OH 44118-1533
Phone: (216) 621-5600
Fax: (440) 975-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-032333 | Ohio |
Profile Details
| NPI number | 1265546113 |
|---|---|
| LBN Legal business name | Clough, Mary M. Lorentz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 2nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265546113 | NPPES |
| Ohio | MEDICAID | 0152383 |
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