| NPI | 1750870374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMINE LESCALLETT Office Manager 440-235-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35055707) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-22 |