DAVID LAKE GORMSEN

CANTON, OH
NPI1619014602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: OH  34002838)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Dr. DAVID LAKE GORMSEN D.O.
1320 MERCY DR NW
CANTON, OH 44708-2614
Phone number: 330-489-1074
Mailing Address
Dr. DAVID LAKE GORMSEN D.O.
4189 SONGBIRD TRL
STOW, OH 44224-2572
Phone number: 330-688-4160
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