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NPI Code Detail

MEDICARE: DEBRA A PRATT MD

MEDICARE: DEBRA A PRATT MD
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
1208600000XSurgery Physician35066485OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578504155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA A PRATT MD
Provider Business Mailing Address
First Line : 18200 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5605
Country : US
Telephone Number : 216-252-2235
Fax Number : 216-252-6658
Provider Business Practice Location Address
First Line : 18200 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5605
Country : US
Telephone Number : 216-252-2235
Fax Number : 216-252-6658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/12/2007

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Directions to “ DEBRA A PRATT MD” Practice Location

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