| NPI | 1710295829 |
|---|---|
| Doing Business As | LAKE HEALTH PHYSICIAN GROUP ELECTROPHYSIOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACZ CFO 440-354-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |