Organization
LAKEWOOD HOSPITAL ASSOCIATION
Active
Parent organization
CLEVELAND CLINIC FOUNDATION
Other names
Lakewood Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND CLINIC FOUNDATION
Authorized official
MICHAEL WASCOVICH (SR. DIRECTOR)
(216) 445-2357
Entity
Organization
Contact information
Practice address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 529-7039
(216) 529-7218
Mailing address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 529-7039
(216) 529-7218
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
020032700
OH
Other
Enumeration date
05/01/2013
Last updated
09/25/2013
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