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NPI Code Detail

MEDICARE: LYNN DELLA GROTTA

MEDICARE: LYNN DELLA GROTTA
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
12085R0202XDiagnostic Radiology Physician35.154177OH
22085R0202XDiagnostic Radiology Physician348009LA

General Provider Information

NPI Number : 1528597655
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN DELLA GROTTA
Provider Business Mailing Address
First Line : 9500 EUCLID AVE # JJ36
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-4923
Country : US
Telephone Number : 216-444-9014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2017
Last Update Date : 09/16/2025

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Directions to “ LYNN DELLA GROTTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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