Organization
LAKE HEALTH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M KUTA MSN, CNP, FNP, RN (CNP)
(440) 354-1802
Entity
Organization
Contact information
Practice address
7580 AUBURN RD, SUITE 207, CONCORD TWP, OH 44077-9615
(440) 953-6082
(440) 953-6138
Mailing address
7580 AUBURN RD, SUITE 207, CONCORD TWP, OH 44077-9615
(440) 354-1802
(440) 953-6138
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
363LF0000X
OH
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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