Organization
DR JEROME J LAMENDOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY KLECAN (OFFICE MANAGER)
(216) 529-1800
Entity
Organization
Contact information
Practice address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201
Mailing address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068077
—
OH
Enumeration date
05/27/2010
Last updated
10/15/2010
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