MEDICARE: LAURIE S SADLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35 061043	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033108527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE S SADLER MD

Provider Business Mailing Address
First Line	:	29160 CENTER RIDGE RD
Second Line	:	SUITE C
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5225
Country	:	US
Telephone Number	:	440-617-1823
Fax Number	:	440-617-0884

Provider Business Practice Location Address
First Line	:	2351 E 22ND ST
Second Line	:	LIPID CLINIC
City	:	CLEVELAND
State	:	OH
Zip	:	44115-3111
Country	:	US
Telephone Number	:	216-363-2732
Fax Number	:	216-363-3321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	01/11/2008

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Directions to “ LAURIE S SADLER MD” Practice Location

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