Lake Health
Dietitian, Registered in Painesville, OH. Organization (NPI-2).
NPI number1134489677
StatusActive
Last updated in NPPESMay 17, 2012
Details
- NPI
- 1134489677
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Health
- Organization subpart
- No
- Enumeration date
- May 17, 2012
- Last updated
- May 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 6868 | OH | Yes |
Practice location
7580 Auburn Rd Ste 201Painesville, OH 44077-9617
Phone 440-375-8153 · Fax 440-375-8154
Mailing address
7580 Auburn Rd Ste 201Painesville, OH 44077-9617
Phone 440-375-8153 · Fax 440-375-8154
Authorized official
Sharon Jody Minjares
Directorlakehealthwellnessinstitute
4403504512
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