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Lakehealth

Community/Behavioral Health in Willoughby, OH. Organization (NPI-2).

NPI number1497018022
StatusActive
Last updated in NPPESJun 19, 2012

Details

NPI
1497018022
Entity type
Organization (NPI-2)
Legal business name
Lakehealth
Organization subpart
No
Enumeration date
Jun 19, 2012
Last updated
Jun 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health0634OHYes

Practice location

36000 Euclid Ave
Willoughby, OH 44094-4625

Phone 440-953-9600

Mailing address

36000 Euclid Ave
Willoughby, OH 44094-4625

Phone 440-953-9600

Authorized official

Janene Yokoyama
Billing Representative
4406026324

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