Provider Demographics
NPI:1639312424
Name:L'HOMMEDIEU, LAUREN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHAEL
Last Name:L'HOMMEDIEU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18101 LORAIN AVENUE, CLEVELAND CLINIC - FAIRVIEW HOSPIT
Mailing Address - Street 2:EMERGENCY SERVICES
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5612
Mailing Address - Country:US
Mailing Address - Phone:912-414-0292
Mailing Address - Fax:
Practice Address - Street 1:18101 LORAIN AVENUE, CLEVELAND CLINIC - FAIRVIEW HOSPIT
Practice Address - Street 2:EMERGENCY SERVICES
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5612
Practice Address - Country:US
Practice Address - Phone:912-414-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 112972208000000X
OH35123758208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics