Individual
LAJERO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 DRESDEN RD, CLEVELAND HEIGHTS, OH 44112-2328
(216) 214-2394
Mailing address
938 DRESDEN RD, CLEVELAND HEIGHTS, OH 44112-2328
(216) 214-2394
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
OH
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089278
—
OH
Enumeration date
05/20/2014
Last updated
05/20/2014
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