| Lakewood Hospital Professional Services | |
|
25200 Center Ridge Rd Suite 1100 Westlake OH 44145-4117 | |
| (440) 333-3332 | |
| (440) 333-7044 |
| Full Name | Lakewood Hospital Professional Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 25200 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Mark E Wiedt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4408955021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Hospital Professional Services 20525 Center Ridge Rd Suite 220 Rocky River OH 44116-3437 Ph: (440) 895-5021 | Lakewood Hospital Professional Services 25200 Center Ridge Rd Suite 1100 Westlake OH 44145-4117 Ph: (440) 333-3332 |
| NPI Number | 1144275785 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144275785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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