Provider Demographics
NPI:1336308394
Name:STRUS, MARIA LESIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LESIA
Last Name:STRUS
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 1:2085 WILLOW BROOK LN
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9689
Mailing Address - Country:US
Mailing Address - Phone:440-823-7076
Mailing Address - Fax:
Practice Address - Street 1:2085 WILLOW BROOK LN
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9689
Practice Address - Country:US
Practice Address - Phone:440-823-7076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079499207R00000X, 208000000X
OH35.079499207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2478064Medicaid
$$$$$$$$$-00OtherBWC