Organization
LAKE EFFECT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SEANA RUTHERFORD APRN (OWNER/OPERATOR)
(216) 704-1425
Entity
Organization
Contact information
Practice address
3611 PROSPECT AVE E, CLEVELAND, OH 44115-2703
(440) 289-7584
(216) 331-6751
Mailing address
3611 PROSPECT AVE E, CLEVELAND, OH 44115-2703
(440) 289-7584
(216) 331-6751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142912
—
OH
Enumeration date
12/28/2018
Last updated
09/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us