Lorain County Health & Dentistry

NPI #1790251700 in Lorain, Ohio

Provider Information

NPI Number
1790251700
Entity Type
Organization
Organization Name
Lorain County Health & Dentistry
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 17, 2018
Last Updated
Oct 17, 2018

Practice Location

Address
6140 S BROADWAY
City
Lorain
State
Ohio
ZIP Code
44053-3821
Phone
(440) 240-1655

Authorized Official

Name
STEPHANIE WIERSMA
Title
CEO & PRESIDENT
Phone
(440) 240-1655

Specialties & Taxonomy Codes

Specialty
Family Medicine
Family Medicine - Adult MedicineAdult Medicine
Internal Medicine
Pediatrics
Nurse Practitioner
Nurse Practitioner - Adult HealthAdult Health
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Primary CarePrimary Care
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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