| NPI | 1669783593 |
|---|---|
| Doing Business As | LHPG TYLER SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT B TRACZ Chief Financial Officer 440-354-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |