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NPI Code Detail

MEDICARE: LAKEWOOD MED INC

MEDICARE: LAKEWOOD MED INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1790646529
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEWOOD MED INC
Provider Business Mailing Address
First Line : 1 W WINTER ST STE 200
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 W WINTER ST STE 200
Second Line :
City : DELAWARE
State : OH
Zip : 43015-4635
Country : US
Telephone Number : 773-630-5926
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : SALEEM KHAN
Credential :
Telephone Number : 773-630-5926
Provider Enumeration Date : 11/20/2025
Last Update Date : 03/19/2026

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Directions to “LAKEWOOD MED INC ” Practice Location

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