Organization
LORAIN COUNTY HEALTH & DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. HEMKER (CFO)
(440) 240-1655
Entity
Organization
Contact information
Practice address
6140 S. BROADWAY AVE., LORAIN, OH 44053-3821
(440) 240-1655
(440) 240-1663
Mailing address
1205 BROADWAY AVE., LORAIN, OH 44052-3409
(440) 240-1655
(440) 233-0194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/25/2019
Last updated
09/09/2021
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