Dr. Laura Lee Konczal
Clinical Genetics (M.D.)
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Dr. Laura Lee Konczal
Clinical Genetics (M.D.)
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
(216) 844-7497
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Laura Lee Konczal
- 11100 Euclid Ave Lakeside Ste 1500
- Cleveland, OH
- Zip : 44106
- Fax : (216) 844-7497
- Phone : (216) 844-3936
Second Address
- Dr. Laura Lee Konczal
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Phone : (216) 844-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 35085739 | OH |
National Provider Identifier
| NPI | 1316141492 |
|---|---|
| Provider Name | Dr. Laura Lee Konczal |
| First Address | Cleveland, OH 44106 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2007 |
| Last Update Date | 19/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1022542000001 | (05) | PA |
| 2839138 | (05) | OH |
| 465081 | WELLCARE (01) | OH |
| 755709 | BUCKEYE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.