Organization
AUGUST HEALTH SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L. LANZA CNP (VICE PRESIDENT-MEDICAL OPERATIONS)
(440) 582-1484
Entity
Organization
Contact information
Practice address
4850 HICKORY NUT LN, INDEPENDENCE, OH 44131-4640
(216) 524-2521
(216) 524-2521
Mailing address
12744 STATE ROAD, NORTH ROYALTON, OH 44133
(440) 582-1484
(440) 582-1321
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2379484
—
OH
Enumeration date
02/17/2007
Last updated
02/11/2014
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