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NPI Code Detail

MEDICARE: MR. LOREN ALLBAUGH PA-C

MEDICARE: MR. LOREN ALLBAUGH PA-C
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
1363AM0700XMedical Physician AssistantMA003099LPA
2363A00000XPhysician Assistant50.002717RXOH

General Provider Information

NPI Number : 1245233931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LOREN ALLBAUGH PA-C
Provider Business Mailing Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/31/2025

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Directions to “ MR. LOREN ALLBAUGH PA-C” Practice Location

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