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NPI Code Detail

MEDICARE: LAMONTICA BURGER QHMS

MEDICARE: LAMONTICA BURGER QHMS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1801427471
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAMONTICA BURGER QHMS
Provider Business Mailing Address
First Line : 3010 PROJECT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3029
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-5359
Provider Business Practice Location Address
First Line : 3010 PROJECT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3029
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-5359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2020
Last Update Date : 01/31/2020

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Directions to “ LAMONTICA BURGER QHMS” Practice Location

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