Organization · NPI-2

Lakewood Hospital Association

Family Medicine · Lakewood, OH

NPI number1205933512

StatusActive

Last updated in NPPESApr 1, 2011

Details

NPI: 1205933512
Entity type: Organization (NPI-2)
Legal business name: Lakewood Hospital Association
Organization subpart: No
Enumeration date: Sep 20, 2006
Last updated: Apr 1, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207P00000X	Emergency Medicine	–	–
207R00000X	Internal Medicine	–	–
207V00000X	Obstetrics & Gynecology	–	–
208600000X	Surgery	–	–
2086S0129X		–	–
363LW0102X	Nurse Practitioner, Women's Health	–	–
367A00000X	Advanced Practice Midwife	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
207T00000X	Neurological Surgery	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–

Practice location

14519 Detroit Ave
Lakewood, OH 44107-4316

Phone 216-521-4200

Mailing address

Po Box 92326
Cleveland, OH 44193-0003

Phone 440-808-3700 · Fax 440-808-3675

Authorized official

Steven Glass
Sr Vp
2164449361

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