Provider Demographics
NPI:1609479351
Name:LAHM, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LAHM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13782 DONALD DR
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-3209
Mailing Address - Country:US
Mailing Address - Phone:216-904-1093
Mailing Address - Fax:
Practice Address - Street 1:13782 DONALD DR
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3209
Practice Address - Country:US
Practice Address - Phone:216-904-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider