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Ellison Marlar, DO
Student in an Organized Health Care Education/Training Program in Lakewood, Ohio
NPI 1972266856

Ellison Marlar is a Student in an Organized Health Care Education/Training Program based in Lakewood, OH. Ellison Marlar practices in Lakewood, OH and has the professional credentials of DO. The NPI Number for Ellison Marlar is 1972266856 and holds a License No. (Ohio).

The current practice location address for Ellison Marlar is 14601 Detroit Ave, Lakewood, OH and can be reached out via phone at 216-237-5500.

Location: 14601 Detroit Ave, Lakewood, OH, 44107-4205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972266856
Provider Name
Ellison Marlar
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
14601 Detroit Ave, Lakewood, OH, 44107-4205
Phone Number
216-237-5500
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14601 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-4205
Phone Number
216-237-5500
Fax Number
person
Provider Business Mailing Address Details
Address
14601 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-4205
Phone Number
216-237-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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