Lake County Family Practice, LLC

NPI #1114057171 in Mentor, Ohio

Provider Information

NPI Number: 1114057171
Entity Type: Organization
Organization Name: Lake County Family Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 7, 2007
Last Updated: Jul 28, 2008

Practice Location

Address: 9500 MENTOR AVENUE
Address 2: SUITE 100
City: Mentor
State: Ohio
ZIP Code: 44060
Phone: (440) 352-4880

Authorized Official

Name: MS. EILEEN SRAJ
Title: OFFICE MANAGER
Phone: (440) 352-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Family Medicine	207Q00000X	Primary

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