| NPI | 1972149268 |
|---|---|
| Other Name | LAKE HEALTH BEACHWOOD ALLIED HEALTH PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN TRACZ Sr VP/CFO 440-354-1642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |