Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakewood Hospital Professional Services

Organization Family Medicine Physician · NPI 1386699106

Lakewood Hospital Professional Services is a Family Medicine Physician in Lakewood, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

14600 Detroit Ave Ste 103
Lakewood, OH 44107-4207
Phone: (216) 227-0717
Fax: (216) 227-0827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1386699106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wiedt — Chief Executive Officer · (440) 895-5021
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address20525 Center Ridge Rd, Suite 220, Rocky River, OH 44116-3437

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