NPI | 1710207329 |
---|---|
Doing Business As | LAKE HEALTH PHYSICIAN GROUP OB/GYN |
Entity Type | Organization |
Authorized Contact | ROBERT B TRACZ Chief Financial Officer 440-354-1642 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2010-06-04 |
Last Update Date | 2010-06-04 |