Eastside Primary Care LLC

NPI #1922308774 in Willoughby, Ohio

Provider Information

NPI Number
1922308774
Entity Type
Organization
Organization Name
Eastside Primary Care LLC
Primary Specialty
Internal Medicine
Enumeration Date
Oct 27, 2010
Last Updated
May 9, 2012

Practice Location

Address
36100 EUCLID AVE
Address 2
#430
State
Ohio
ZIP Code
44094-4456
Phone
(440) 946-4070

Authorized Official

Name
JEAN B LENK, MD
Title
OWNER
Phone
(440) 946-4070

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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