Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Other names
Lakewood Medical Offices
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG FAERBER (VP-CFO)
(216) 265-8844
Entity
Organization
Contact information
Practice address
20575 CENTER RIDGE RD, ROCKY RIVER, OH 44116-3422
(216) 265-8810
(216) 265-8890
Mailing address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8844
(216) 265-8890
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211372
—
OH
Enumeration date
12/04/2006
Last updated
07/19/2012
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