LAKE ERIE MEDICAL GROUP INC. NPI 1124111992

NPI Information

LAKE ERIE MEDICAL GROUP, INC. is a specialist in Cleveland, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKE ERIE MEDICAL GROUP, INC. NPI is 1124111992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6701 ROCKSIDE RD
SUITE 250
CLEVELAND, OH
ZIP 44131-358
Phone: (216) 328-8086
Fax: (216) 328-8091

The provider's authorized official is Linda H. Starr .
The authorized official title is Director and has the following contact phone number (317) 598-8880.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

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:

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