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NPI Code Detail

MEDICARE: LADONNA M RUFFIN

MEDICARE: LADONNA M RUFFIN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1952880247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADONNA M RUFFIN
Provider Business Mailing Address
First Line : 13944 EUCLID AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-3804
Country : US
Telephone Number : 216-432-7200
Fax Number :
Provider Business Practice Location Address
First Line : 13944 EUCLID AVE
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-3804
Country : US
Telephone Number : 216-432-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2018
Last Update Date : 08/08/2018

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Directions to “ LADONNA M RUFFIN ” Practice Location

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