| NPI | 1356512735 |
|---|---|
| Other Name | WESTERN RESERVE SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DEBORAH L LUCAS Practice Administrator 330-753-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |