Organization
CLEVELAND GERIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE KEITH GRAY MD (PHYSICIAN)
(216) 261-1500
Entity
Organization
Contact information
Practice address
3 MERIT DR, RICHMOND HTS, OH 44143-1457
(216) 261-1500
(216) 261-8970
Mailing address
1460 BURLINGTON RD, CLEVELAND HTS, OH 44118-1261
(216) 261-1500
(216) 261-8970
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35048187G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2877212
—
OH
Enumeration date
10/17/2007
Last updated
01/08/2009
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