# DR JEROME J LAMENDOLA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR JEROME J LAMENDOLA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770802829
- **Legal business name:** DR JEROME J LAMENDOLA LLC
- **Authorized official:** MS. JUDY KLECAN (OFFICE MANAGER)
- **Authorized official phone:** (216) 529-1800

## Contact information

- **Practice address:** 29101 HEALTH CAMPUS DR BLDG 2, \#255, WESTLAKE, OH 44145-5270
- **Practice address phone:** (216) 529-1800
- **Practice address fax:** (216) 529-3201
- **Mailing address:** 15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
- **Mailing address phone:** (216) 529-1800
- **Mailing address fax:** (216) 529-3201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002157 | OH | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 11/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3086360 | — | OH |