| NPI | 1942580394 |
|---|---|
| Doing Business As | LHPG THOMAS MENTOR FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RICK CICERO Sr. VP Business Development 440-354-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |