Lake Obstetrics and Gynecology, INC

NPI #1811950447 in Mentor, Ohio

Provider Information

NPI Number: 1811950447
Entity Type: Organization
Organization Name: Lake Obstetrics and Gynecology, INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 6, 2006
Last Updated: Aug 7, 2025

Practice Location

Address: 8300 TYLER BLVD STE 300
City: Mentor
State: Ohio
ZIP Code: 44060-4251
Phone: (440) 557-7100

Authorized Official

Name: SUSANNA BOWMAN
Title: OFFICE MANAGER
Phone: (440) 357-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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