Evelyn Ortiz, CT, LE

NPI #1710652573 in Lakewood, Ohio

Provider Information

NPI Number: 1710652573
Entity Type: Individual
Name: Evelyn Ortiz, CT, LE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CT, LE
Enumeration Date: Aug 13, 2021
Last Updated: Aug 13, 2021

Practice Location

Address: 14701 DETROIT AVE STE 220
City: Lakewood
State: Ohio
ZIP Code: 44107-4109
Phone: (216) 509-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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