Lake Effect Health

NPI #1780156984 in Cleveland, Ohio

Provider Information

NPI Number: 1780156984
Entity Type: Organization
Organization Name: Lake Effect Health
Primary Specialty: Nurse Practitioner
Enumeration Date: Dec 28, 2018
Last Updated: Sep 16, 2024

Practice Location

Address: 3611 PROSPECT AVE E
City: Cleveland
State: Ohio
ZIP Code: 44115-2703
Phone: (440) 289-7584

Authorized Official

Name: MS. SEANA RUTHERFORD, APRN
Title: OWNER/OPERATOR
Phone: (216) 704-1425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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