Organization
CHAGRIN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY LASORELLA (OFFICE MANAGER)
(216) 991-5100
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD, SUITE 250, BEACHWOOD, OH 44122-5363
(216) 991-5100
(216) 991-5190
Mailing address
21625 CHAGRIN BLVD, SUITE 250, BEACHWOOD, OH 44122-5363
(216) 991-5100
(216) 991-5190
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
35.029203
OH
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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