NPI 1154555175

The Lorenzo G Jackson Foundation

Organisation Health Maintenance Organization Cleveland, OH

Practice location

Address: 4756 E 174th St, Cleveland, OH 44128-3924
Phone: (216) 799-8292

Authorised official

Name: Edward Johnson
Title: Ceo
Phone: (216) 799-8292

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Ohio →

Registry record

NPI: 1154555175
Entity type: Organization
NPI issued: 5 May 2009
Record last updated: 5 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.