Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 35-065740 | OH |
NPI | 1114944139 |
---|---|
Provider Name | Laura Jh Milgram |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000027104 | ANTHEM (01) | OH |
000000217932 | UNISON (01) | OH |
000000526106 | ANTHEM (01) | OH |
1008464270001 | PA MEDICAID (01) | PA |
2053533 | AETNA (01) | OH |
2067981 | (05) | OH |
2067981 | BCMH (01) | OH |
363843 | WELLCARE (01) | OH |
745952 | BUCKEYE (01) | OH |
G92795 | (02) | OH |