Provider Demographics
NPI:1891951265
Name:TRESSER, NANCY JO-LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JO-LYNN
Last Name:TRESSER
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 1:23770 LETCHWORTH RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4112
Mailing Address - Country:US
Mailing Address - Phone:216-378-2081
Mailing Address - Fax:
Practice Address - Street 1:23770 LETCHWORTH RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4112
Practice Address - Country:US
Practice Address - Phone:216-378-2081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57919207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology