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PATRICK T BOYLAN MD INC NPI 1760884399


NPI Information

NPI: 1760884399
Provider Name: PATRICK T BOYLAN MD INC

Doing Business As: LAKE PHYSICAL MEDICINE

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
9485 MENTOR AVE STE 203
MENTOR, OH
ZIP 44060
Phone: (440) 205-9119
Get Directions

PATRICK T BOYLAN MD INC is a pain medicine physical medicine rehabilitation in Mentor, OH. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PATRICK T BOYLAN MD INC NPI is 1760884399. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Physical Medicine.

The provider's business location address is:

9485 MENTOR AVE STE 203
MENTOR, OH
ZIP 44060-723
Phone: (440) 205-9119

The provider's authorized official is Patrick T Boylan .
The authorized official title is Owner / Physician and has the following contact phone number (440) 205-9119.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 3/2/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain Medicine35072046OHIOYes

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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