THE LORENZO G JACKSON FOUNDATION

Health Maintenance Organization

Active Organization
NPI: 1154555175

Practice Address

4756 E 174TH ST
Cleveland, OH 44128

Phone: (216) 799-8292

Specialties

Specialty Code Primary License
Health Maintenance Organization 302R00000X Yes -

Frequently Asked Questions

NPI 1154555175 is the National Provider Identifier for THE LORENZO G JACKSON FOUNDATION, a Health Maintenance Organization provider located in Cleveland, OH. This NPI was enumerated on May 5, 2009.

Quick Facts

NPI
1154555175
Type
Organization
Enumerated
May 5, 2009
Last Updated
May 5, 2009

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