Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 18213 | NV |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35.141497 | OH |
NPI | 1730506916 |
---|---|
Provider Name | Lannah Lorraine Lim Lua-Mailland |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 13/07/2021 |