Individual provider · NPI-1

Dr. Lydia L. Burrell, M.D.

Internal Medicine · South Euclid, OH

NPI number1124034822
StatusActive
Last updated in NPPESSep 29, 2011

Details

NPI
1124034822
Entity type
Individual (NPI-1)
Name
Dr. Lydia L. Burrell
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2006
Last updated
Sep 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35068380OHYes

Practice location

1611 S Green Rd
Suite 160
South Euclid, OH 44121-4128

Phone 216-297-3070 · Fax 216-297-3156

Mailing address

1611 S Green Rd
Suite 160
South Euclid, OH 44121-4128

Phone 216-297-3070 · Fax 216-297-3156

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