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
260 S MAIN ST., OBERLN, OH 44074-1773
(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
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
04/29/2021
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