| NPI | 1518296623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE CLARK LANEY Owner 330-856-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35048805) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |