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Lorain County Health & Dentistry

Clinic/Center in Lorain, OH. Organization (NPI-2).

NPI number1649802455
StatusActive
Last updated in NPPESFeb 10, 2020

Details

NPI
1649802455
Entity type
Organization (NPI-2)
Legal business name
Lorain County Health & Dentistry
Organization subpart
No
Enumeration date
Feb 10, 2020
Certification date
Feb 10, 2020
Last updated
Feb 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6140 S. Broadway Ave.
Lorain, OH 44053-3821

Phone 440-240-1655 · Fax 440-240-1663

Mailing address

1205 Broadway Ave.
Lorain, OH 44052-3409

Phone 440-240-1655 · Fax 440-240-1663

Authorized official

Lisa M Hemker
Cfo
4402401655

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All 9 Clinic/Center providers in Lorain · All 2,400 providers in Lorain

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