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1366405110
LAWRENCE C DECIPEDA
CLEVELAND, OH
NPI
1366405110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50001963)
Enumeration Date
2006-04-11
Last Update Date
2008-01-30
Business Address
-- LAWRENCE C DECIPEDA PA
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- LAWRENCE C DECIPEDA PA
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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