Lake Atc

NPI #1861695710 in Painesville, Ohio

Provider Information

NPI Number: 1861695710
Entity Type: Organization
Organization Name: Lake Atc
Primary Specialty: Home Health
Enumeration Date: Jun 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 270 E MAIN ST
Address 2: SUITE 200
City: Painesville
State: Ohio
ZIP Code: 44077-3856
Phone: (440) 350-2547

Authorized Official

Name: MS. ROSE ANNE WALDMAN LONSWAY, RN
Title: EXECUTIVE DIRECTOR
Phone: (440) 350-2547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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