Female

Lucy R. Freedy MD

Full Name

Lucy R Freedy MD

NPI Number

1558564773

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/06/2007

Specialties

(Taxonomies)

Code

2085B0100X
2085U0001X
2085N0700X
2085N0904X

Primary Taxonomy

No
No
No
No

Licenses

State

California
North Carolina
Ohio

License Number

C24044
10811
35.02338

Contact
Information

Purpose

Mailing
Location

Address

3605 WARRENSVILLE CENTER ROAD
11100 EUCLID AVENUE

City

Shaker Hgts
Cleveland

State

OH
OH

Postal Code

44122
44106

Country

US
US

Telephone Number

(216) 286-6299
(216) 844-1700

Identifiers

Identifier

4306279
0304914
0488379
421782
727197
000000547444

Identifier State

OH
OH
OH
OH
OH
OH

Identifier Issuer

AETNA
BCMH
Unknown
WELLCARE
BUCKEYE
ANTHEM

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/05/2010

Provider Address