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Organization

COUNTY OF LAKE COURT HOUSE

Active
Other names
Lake County General Health District, Lake County General Health District
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON GRAHAM RD/RDN, LD, MPH (HEALTH COMISSIONER)
(440) 350-2554
Entity
Organization

Contact information

Practice address
5966 HEISLEY RD, MENTOR, OH 44060-1886
(440) 350-2554
(440) 350-2956
Mailing address
5966 HEISLEY RD, MENTOR, OH 44060-1886
(440) 350-2554
(440) 350-2956

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0567480
OH
Enumeration date
12/13/2006
Last updated
01/22/2019
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