Lakeside Heart and Lung Center, Inc.

NPI #1417030982 in Sandusky, Ohio

Provider Information

NPI Number
1417030982
Entity Type
Organization
Organization Name
Lakeside Heart and Lung Center, Inc.
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Oct 20, 2006
Last Updated
Apr 23, 2012

Practice Location

Address
703 TYLER ST
Address 2
STUITE 252
State
Ohio
ZIP Code
44870-3367
Phone
(419) 609-8000

Authorized Official

Name
DR. ANTHONY DERISO II, M.D.
Title
DIRECTOR/ OWNER
Phone
(419) 609-8000

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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Provider Name
DR. Shailen R Patel, MDNewBizBotAI Deep Dive
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DR. Peter M Pavlina, MDNewBizBotAI Deep Dive

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Provider Name
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