Clough, Mary M. Lorentz

Clough, Mary M. Lorentz is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clough, Mary M. Lorentz can be contacted via phone (216) 621-5600.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Phone: (216) 621-5600
Fax: (440) 975-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-032333 Ohio

Profile Details

NPI number 1265546113
LBN Legal business name Clough, Mary M. Lorentz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265546113 NPPES
Ohio MEDICAID 0152383

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