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NPI Code Detail

MEDICARE: LEJSOR LEDERMAN DC

MEDICARE: LEJSOR LEDERMAN DC
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
1111N00000XChiropractorDC-04953OH

General Provider Information

NPI Number : 1316514276
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEJSOR LEDERMAN DC
Provider Business Mailing Address
First Line : 2456 LAURELHURST RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4671
Country : US
Telephone Number : 216-860-4686
Fax Number :
Provider Business Practice Location Address
First Line : 33420 LIBERTY PKWY
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2670
Country : US
Telephone Number : 440-406-9295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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Directions to “ LEJSOR LEDERMAN DC” Practice Location

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