Organization
LORAIN COUNTY HEALTH & DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WIERSMA (CEO)
(440) 240-1655
Entity
Organization
Contact information
Practice address
1205 BROADWAY, LORAIN, OH 44052-3409
(440) 240-1655
Mailing address
1205 BROADWAY, LORAIN, OH 44052-3409
(440) 240-1655
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
COA-15100-NP
OH
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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