Organization
LUTHERAN HOSPITAL
Active
Organization
LUTHERAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582469
—
OH
01
—
5504570005
MEDICARE DME
OH
01
—
DC0279
RAILROAD GROUP
OH
01
—
DC0478
RAILROAD GROUP
OH
Enumeration date
07/11/2006
Last updated
08/25/2025
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