Lake County Pain & Diagnostic

NPI #1497740617 in Mentor, Ohio

Provider Information

NPI Number
1497740617
Entity Type
Organization
Organization Name
Lake County Pain & Diagnostic
Subpart
Yes (part of a larger organization)
Parent Organization
PATRICK T. BOYLAN, MD INC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 14, 2005
Last Updated
Mar 2, 2020

Practice Location

Address
8401 MENTOR AVE
Address 2
STE A
City
Mentor
State
Ohio
ZIP Code
44060-5842
Phone
(440) 205-9119

Authorized Official

Name
PATRICK T BOYLAN, MD
Title
OWNER / PHYSICIAN
Phone
(440) 205-9119

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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