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
6150 PARK SQUARE DR., LORAIN, OH 44053-4153
(440) 240-1655
(440) 240-1663
Mailing address
1205 BROADWAY AVE., LORAIN, OH 44052-3409
(440) 240-1655
(440) 240-1663
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
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
06/22/2021
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