| Laurel G Kaiser | |
|
25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 | |
| (216) 282-7244 | |
| Not Available |
| Full Name | Laurel G Kaiser |
|---|---|
| Speciality | Counselor |
| Location | 25201 Chagrin Blvd Ste 390, Beachwood, Ohio |
| Authorized Official Name and Position | Evelyn Garland (CREDENTIALING AGENT) |
| Authorized Official Contact | 4042135329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel G Kaiser 5277 Golfway Ln Lyndhurst OH 44124-3735 Ph: (216) 282-7244 | Laurel G Kaiser 25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 Ph: (216) 282-7244 |
| NPI Number | 1043824766 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043824766 | NPI | - | NPPES |
| 1912299306 | Other | OH | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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