Organization
LORAIN COUNTY CORRECTIONAL INSTITUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRIESEN MD (DIRECTOR OF MEDICINE)
(440) 748-1049
Entity
Organization
Contact information
Practice address
1421 BRADLEY RD, WESTLAKE, OH 44145-1721
(440) 899-4937
Mailing address
1421 BRADLEY RD, WESTLAKE, OH 44145-1721
(440) 899-4937
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16327-NP
OH
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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