Lynne A Eversman
Pediatric Emergency Doctor
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Lynne A Eversman
Pediatric Emergency Doctor
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Lynne A Eversman
- 24701 Euclid Ave 3rd Floor
- Euclid, OH
- Zip : 44117-1714
- Phone :
Second Address
- Lynne A Eversman
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Fax : (216) 286-6341
- Phone : (216) 844-7700
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Is Lynne A Eversman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 35-062031 | OH |
National Provider Identifier
| NPI | 1023039559 |
|---|---|
| Provider Name | Lynne A Eversman |
| 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 | 21/07/2006 |
| Last Update Date | 05/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000221177 | UNISON (01) | OH |
| 000000316889 | ANTHEM (01) | OH |
| 000000525922 | ANTHEM (01) | OH |
| 0652232 | AETNA (01) | OH |
| 0933404 | (05) | OH |
| 0933404 | BCMH (01) | OH |
| 1018895090001 | (05) | PA |
| 363513 | WELLCARE (01) | OH |
| 732585 | BUCKEYE (01) | OH |
| F72476 | (02) | 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.