| Laura A Cifra-bean, MD | |
| 
					9485 Mentor Ave, #101, Mentor, OH 44060  | |
| (440) 205-5800 | |
| (440) 205-5801 | 
| Full Name | Laura A Cifra-bean | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 9485 Mentor Ave, Mentor, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720194046 | NPI | - | NPPES | 
| 0294391 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35-069873 (Ohio) | Primary | 
| Entity Name | Lake Hospital System, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Laura A Cifra-bean, MD Po Box 714328, Columbus, OH 43271-4328 Ph: (800) 354-1985  | Laura A Cifra-bean, MD 9485 Mentor Ave, #101, Mentor, OH 44060 Ph: (440) 205-5800  | 
Briana Lynn Andres, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7060 Wayside Dr, Mentor, OH 44060 Phone: 440-357-2770  | |
Diane M Lester, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9485 Mentor Avenue, 101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801  | |
Barbara L Davis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Avenue, #101, Mentor, OH 44060 Phone: 440-205-5800 Fax: 440-205-5801  | |
Joy Ertel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173  | |
Nancy L Albanese, CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481  | |
Jon D Kannensohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173  |