Individual
JUSTIN LAMENDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12034 CLIFTON BLVD, LAKEWOOD, OH 44107-2121
(440) 454-9172
Mailing address
12034 CLIFTON BLVD, LAKEWOOD, OH 44107-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
405248J
OH
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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