| NPI | 1003090689 |
|---|---|
| Doing Business As | LAKE HEALTH PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACZ Chief Financial Officer 440-354-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2011-04-14 |