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LAKE POINT MEDICAL GROUP LLC NPI 1982161527


NPI Information

NPI: 1982161527
Provider Name: LAKE POINT MEDICAL GROUP, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 36D2179969

Address:
1730 W 25TH ST STE 2E
CLEVELAND, OH
ZIP 44113
Phone: (216) 227-2194
Get Directions

LAKE POINT MEDICAL GROUP, LLC is a podiatrist in Cleveland, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LAKE POINT MEDICAL GROUP, LLC NPI is 1982161527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1730 W 25TH ST STE 2E
CLEVELAND, OH
ZIP 44113-108
Phone: (216) 227-2194

The provider's authorized official is George Khuri .
The authorized official title is Owner and has the following contact phone number (216) 226-8700.

The CLIA number assigned to this NPI record is 36D2179969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2019 and was last updated on 3/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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