Provider Information for 1770615775
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Ms. MELISSA ANN ROMAIN LSW
Sex: Female
NPI: 1770615775
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1770615775 | ||||||||
Enumeration Date | 2007-03-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 5260 E 104TH ST GARFIELD HTS, OH 44125-2408 United States Phone: | Fax: | ||||||||
Primary Practice Address | 15200 MADISON AVE LAKEWOOD, OH 44107-4019 United States Phone: 216-570-3895 | Fax:216-529-1630 | ||||||||
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