Lakewood Dermatology

NPI #1275933780 in Lakewood, Ohio

Provider Information

NPI Number
1275933780
Entity Type
Organization
Organization Name
Lakewood Dermatology
Primary Specialty
Dermatology
Enumeration Date
Sep 3, 2014
Last Updated
Sep 3, 2014

Practice Location

Address
14701 DETROIT AVE
Address 2
SUITE 208
State
Ohio
ZIP Code
44107-4115
Phone
(216) 458-0322

Authorized Official

Name
DR. STEPHANIE D NEIDER, M.D.
Title
OWNER/PHYSICIAN
Phone
(216) 458-0322

Specialties & Taxonomy Codes

Specialty
Dermatology

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