| Doctor Name: | JEROME LAMENDOLA |
| NPI Number: | 1740282607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 15810 Detroit Ave Lakewood, OH - 441073711 |
| Business Phone Number: | 2165291800 |
| Business Fax Number: | 2165293201 |
| Mailing Address: | 30575 Euclid Ave, WICKLIFFE |
| State: | OH |
| Postal Code: | 440921037 |
| Phone Number: | 4405163776 |
| Fax Number: | 4405163783 |
| NPI Enumeration Date: | 08/11/2005 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/22/2006 |
| NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |