Provider Demographics
NPI:1699805010
Name:ZINAIDA LEBEDEVA MD LLC
Entity type:Organization
Organization Name:ZINAIDA LEBEDEVA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZINAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBEDEVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-729-2518
Mailing Address - Street 1:8228 MAYFIELD RD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2594
Mailing Address - Country:US
Mailing Address - Phone:440-729-2518
Mailing Address - Fax:
Practice Address - Street 1:8228 MAYFIELD RD
Practice Address - Street 2:SUITE 2B
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2594
Practice Address - Country:US
Practice Address - Phone:440-729-2518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350763602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty