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NPI Code Detail

MEDICARE: LORAIN COUNTY HEALTH & DENTISTRY

MEDICARE: LORAIN COUNTY HEALTH & DENTISTRY
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1215194527
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORAIN COUNTY HEALTH & DENTISTRY
Provider Business Mailing Address
First Line : 1205 BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44052-3409
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-245-1218
Provider Business Practice Location Address
First Line : 1205 BROADWAY AVE.
Second Line :
City : LORAIN
State : OH
Zip : 44052-3409
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-233-0194
Authorized Official
Title or Position : CFO
Name : LISA M. HEMKER
Credential :
Telephone Number : 440-240-1655
Provider Enumeration Date : 05/22/2008
Last Update Date : 06/15/2021

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Directions to “LORAIN COUNTY HEALTH & DENTISTRY ” Practice Location

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