Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2117 | OH |
Y | 222Z00000X | Podiatrist | 2117 | OH |
NPI | 1063411445 |
---|---|
Provider Name | Dr. Lawrence Steven Osher |
First Address | Beachwood, OH 44122-1220 |
Second Address | Cleveland, OH 44103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 07/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CH5179 | RR MEDICARE GROUP (01) | OH |
T80553 | (02) | OH |