UPI (Provider ID): 6912
Change Report (if Any):

Short Name: LAURELWOOD-WILL

Long Name 1: LAURELWOOD HOSPITAL
Long Name 2:

Address 1: 35900 EUCLID AVENUE
Address 2:

City: WILLOUGHBY
Zip Code: 44094
County: LAKE

Contact: DANIELA KRIZANAC
Title:
Phone: 4409533369
FAX: 4409533274

Vendor: 10518

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016