LAKE COUNTY INTERNAL MEDICINE, INC.

MENTOR, OH
NPI1922799378
Entity TypeOrganization
Authorized ContactHAITHAM J KOUSA
Owner
440-681-0300
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2023-05-17
Last Update Date2023-05-17
Business Address
LAKE COUNTY INTERNAL MEDICINE, INC.
9485 MENTOR AVE STE 104
MENTOR, OH 44060-8722
Phone number: 440-205-5770
Mailing Address
LAKE COUNTY INTERNAL MEDICINE, INC.
587 CHARLES PL
HIGHLAND HEIGHTS, OH 44143-1949
Phone number: 440-681-0300
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