LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER NPI 1629484225

NPI Information

LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER is a clinic pharmacy pharmacy in Mentor, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER NPI is 1629484225. The provider is registered as an organization entity type.

The provider's business location address is:

9485 MENTOR AVE STE 3
MENTOR, OH
ZIP 44060-711
Phone: (440) 205-5755

The provider's authorized official is Julie Moran .
The authorized official title is Executive Director and has the following contact phone number (440) 205-5755.

The enumeration date for this NPI number is 7/3/2014 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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