| NPI | 1790974442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D. LAMBDIN Office Manager 330-938-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 34006945C) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-08-16 |