| NPI | 1609894575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA PARKER President 216-464-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35-058810) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-30 |