Emergency Medicine Physicians of Lake County Ltd
NPI #1154763944 in Willoughby, Ohio
Provider Information
- NPI Number
- 1154763944
- Entity Type
- Organization
- Organization Name
- Emergency Medicine Physicians of Lake County Ltd
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jul 23, 2013
- Last Updated
- Jul 23, 2013
Practice Location
- Address
- 36000 EUCLID AVE
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4625
- Phone
- (330) 493-4443
Authorized Official
- Name
- DAVID CHARLES PACKO, MD
- Title
- PRESIDENT
- Phone
- (330) 493-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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