Lake Cardiology INC
NPI #1528006616 in Painesville, Ohio
Provider Information
- NPI Number
- 1528006616
- Entity Type
- Organization
- Organization Name
- Lake Cardiology INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 124 LIBERTY ST
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077-3303
- Phone
- (440) 352-4956
Authorized Official
- Name
- DR. AHMAD BANNA, M.D.
- Title
- PRESIDENT
- Phone
- (440) 352-4956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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