Konczal, Laura Lee
Konczal, Laura Lee is an sole proprietor health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Konczal, Laura Lee can be contacted via phone (216) 844-1000.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 35085739 | Ohio |
Profile Details
| NPI number | 1316141492 |
|---|---|
| LBN Legal business name | Konczal, Laura Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jan 19th, 2021 - about 5 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 | 1316141492 | NPPES |
| Ohio | Other | 465081 | WELLCARE |
| Ohio | Other | 755709 | WELLCARE |
| Ohio | MEDICAID | 2839138 | WELLCARE |
| Ohio | MEDICAID | 1022542000001 | WELLCARE |
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