Provider First Line Business Practice Location Address:
11709 LORAIN AVE
Provider Second Line Business Practice Location Address:
FAMILY MEDICINE CENTER
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-671-5006
Provider Business Practice Location Address Fax Number:
216-671-5004
Provider Enumeration Date:
05/04/2006