| NPI | 1821253048 |
|---|---|
| Doing Business As | LAKE COUNTY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT B TRACZ Chief Financial Officer 440-354-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |