| NPI | 1184768616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L. LANZA Vice President Medical Operations 440-582-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2014-02-11 |