Organization
CITY OF LAKEWOOD - DIVISION OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA A EVANS MD (HEALTH COMMISSIONER)
(216) 529-7693
Entity
Organization
Contact information
Practice address
12805 DETROIT AVE, LAKEWOOD, OH 44107-2835
(216) 529-7690
(216) 529-5910
Mailing address
12805 DETROIT AVE, LAKEWOOD, OH 44107-2835
(216) 529-7690
(216) 529-5910
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0874237
—
OH
Enumeration date
08/23/2005
Last updated
07/21/2022
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