Lakewood Hospital Professional Services

NPI #1033164942 in North Olmsted, Ohio

Provider Information

NPI Number: 1033164942
Entity Type: Organization
Organization Name: Lakewood Hospital Professional Services
Primary Specialty: Internal Medicine
Enumeration Date: May 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 24700 LORAIN RD
Address 2: SUITE 120
City: North Olmsted
State: Ohio
ZIP Code: 44070-2088
Phone: (440) 734-3494

Authorized Official

Name: MARK E WIEDT
Title: CHIEF EXECUTIVE OFFICER
Phone: (440) 895-5021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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