Healthcare Provider Details

I. General information

NPI: 1336308394
Provider Name (Legal Business Name): MARIA LESIA STRUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 09/29/2026
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 WILLOW BROOK LN
HINCKLEY OH
44233-9689
US

IV. Provider business mailing address

2085 WILLOW BROOK LN
HINCKLEY OH
44233-9689
US

V. Phone/Fax

Practice location:
  • Phone: 440-823-7076
  • Fax:
Mailing address:
  • Phone: 440-823-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.079499
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35079499
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35079499
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: