Organization
COMPREHENSIVE PAIN CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI DALZELL (BILLING MANAGER)
(440) 246-8013
Entity
Organization
Contact information
Practice address
4804 LEAVITT RD, STE A, LORAIN, OH 44053-2139
(440) 989-2066
(440) 989-1153
Mailing address
4804 LEAVITT RD, STE A, LORAIN, OH 44053-2139
(440) 989-2066
(440) 989-1153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101259
KAISER PERMENENTE
OH
01
—
128429100
FEDERAL WORKERS
OH
05
—
2065401
—
OH
Enumeration date
03/08/2006
Last updated
10/07/2016
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