MEDICARE: LAURETA ELSER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1487139036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURETA ELSER

Provider Business Mailing Address
First Line	:	807 E WASHINGTON ST
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-3338
Country	:	US
Telephone Number	:	330-416-8120
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 E WASHINGTON ST
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-3338
Country	:	US
Telephone Number	:	216-435-0931
Fax Number	:

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

Provider Enumeration Date	:	09/30/2018
Last Update Date	:	09/09/2025

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Directions to “ LAURETA ELSER ” Practice Location

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