Organization
LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MORAN (EXECUTIVE DIRECTOR)
(440) 205-5755
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE STE 3, MENTOR, OH 44060-8711
(440) 205-5755
Mailing address
9485 MENTOR AVE STE 3, MENTOR, OH 44060-8711
(440) 205-5755
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
021034800
OH
Other
Enumeration date
07/03/2014
Last updated
01/26/2015
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