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)Name
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