Gervasi, Lawrence A

Gervasi, Lawrence A is an individual health care provider with primary practice located at 6900 Pearl Rd 2Nd Floor, Middleburg Heights OH 44130-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gervasi, Lawrence A can be contacted via phone (440) 845-0900.

Contact Information

Primary practice address
6900 Pearl Rd 2Nd Floor Middleburg Heights OH 44130-3639
Fax: (440) 845-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35061454G Ohio

Profile Details

NPI number 1265400592
LBN Legal business name Gervasi, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Jan 25th, 2022 - about 2 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 1265400592 NPPES
Ohio MEDICAID 0850833

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